Elizabeth Mae Evergreen, LMT

NPI #1124527338 in Hillsboro, Oregon

Provider Information

NPI Number: 1124527338
Entity Type: Individual
Name: Elizabeth Mae Evergreen, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 3, 2018
Last Updated: Feb 3, 2018

Practice Location

Address: 2167 NW 185TH AVE
City: Hillsboro
State: Oregon
ZIP Code: 97124-7074
Phone: (503) 828-1311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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