Organization
ELK ROCK WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY SARIO LMT (OWNER)
(503) 303-4078
Entity
Organization
Contact information
Practice address
2403 SE MONROE ST STE B, MILWAUKIE, OR 97222-7646
(503) 303-4078
Mailing address
2403 SE MONROE ST STE B, MILWAUKIE, OR 97222-7646
(503) 303-4078
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
12973
OR
225700000X
Massage Therapist
Primary
12973
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100640994
DBA
OR
Enumeration date
04/23/2014
Last updated
04/23/2014
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