ELIZA LYNN CROCKETT

BEAVERTON, OR
NPI1740338284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  6683)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Ms. ELIZA LYNN CROCKETT LMT
3800 SW CEDAR HILLS BLVD STE 193
BEAVERTON, OR 97005-2027
Phone number: 503-643-3827
Mailing Address
Ms. ELIZA LYNN CROCKETT LMT
4200 SW 107TH AVE APT 3402
BEAVERTON, OR 97005-3177
Phone number: 503-336-0866