Individual
DAWNIELLE EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2820 E MAIN ST, HILLSBORO, OR 97123-7068
(971) 317-0883
Mailing address
4029 NE 16TH CT, GRESHAM, OR 97030-4676
(503) 756-3898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24243
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24243
LICENSED MASSAGE THERAPIST
OR
Enumeration date
03/25/2020
Last updated
03/25/2020
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