Individual
CAROLINE ELYSE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
446 E MAIN ST STE A, HILLSBORO, OR 97123-4187
(713) 972-5697
Mailing address
208 A ST, VERNONIA, OR 97064-1304
(713) 972-5697
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT-22777
STATE LICENSE
OR
Enumeration date
01/15/2024
Last updated
01/15/2024
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