Individual
ELISABETH BALLANTINE WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2305 SE WASHINGTON ST, MILWAUKIE, OR 97222-7647
(213) 300-8927
Mailing address
12992 SE RUSK RD, MILWAUKIE, OR 97222-2106
(914) 471-0679
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28964
OR
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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