Organization
EVERGREEN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE COX LMT (OWNER / OPERATOR)
(971) 777-2499
Entity
Organization
Contact information
Practice address
2256 N ALBINA AVE, PORTLAND, OR 97227-1774
(971) 777-2499
Mailing address
7324 N CONCORD AVE, PORTLAND, OR 97217-5510
(971) 777-2499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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