Individual
ELSBETH VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3235 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97202-1730
(503) 757-7910
Mailing address
4002 SE TIBBETTS ST, PORTLAND, OR 97202-1755
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20612
OR
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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