Individual
ES ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1200 HIGH ST STE 150, EUGENE, OR 97401-3222
(541) 505-7427
Mailing address
1009 FRONT AVE NE, ALBANY, OR 97321-3092
(503) 593-4705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25276
OR
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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