Individual
MS. ELIZABETH GRACE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12923 NW CORNELL RD, SUITE 201, PORTLAND, OR 97229-5834
(503) 646-3393
Mailing address
12923 NW CORNELL RD, SUITE 201, PORTLAND, OR 97229-5834
(503) 646-3393
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19595
OR
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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