Individual
MS. ELIZABETH RISTINE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1016 SE 12TH AVE, PORTLAND, OR 97214-2513
(503) 226-4611
Mailing address
1016 SE 12TH AVE, PORTLAND, OR 97214-2513
(503) 226-4611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2991
OR
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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