Individual
ELIZABETH GRACE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18633 SE STARK ST, PORTLAND, OR 97233-5468
(503) 676-3131
Mailing address
1903 SE 97TH AVE, VANCOUVER, WA 98664-3703
(360) 607-1905
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27064
OR
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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