Individual
ELIJAH SUMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
104 5TH ST, HOOD RIVER, OR 97031-2058
(541) 490-1444
Mailing address
PO BOX 809, WHITE SALMON, WA 98672-0809
(541) 645-4093
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26844
OR
Other
Enumeration date
06/06/2022
Last updated
05/21/2025
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