Individual
ELIZABETH POND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2627 NE BROADWAY, PORTLAND, OR 97232
(503) 869-6345
Mailing address
4627 NE 83RD AVE, PORTLAND, OR 97220-4843
(503) 869-6345
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13818
OR
Other
Enumeration date
04/30/2008
Last updated
07/02/2008
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