ELISA BROCKWAY

LAKE OSWEGO, OR
NPI1164040333
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  7964)
Enumeration Date2020-07-14
Last Update Date2020-07-14
Business Address
ELISA BROCKWAY LMT
530 1ST ST STE B2
LAKE OSWEGO, OR 97034-3248
Phone number: 971-344-4223
Mailing Address
ELISA BROCKWAY LMT
1605 NE 76TH AVE
PORTLAND, OR 97213-6747
Phone number: 971-344-4223
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