Lois Elizabeth Yevdalcia Dimick in Forest Grove - Massage Therapist

Lois Elizabeth Yevdalcia Dimick - NPI 1629102454

Lois Elizabeth Yevdalcia Dimick is a Massage Therapist in Forest Grove, Oregon. Lois Elizabeth Yevdalcia Dimick practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Lois Elizabeth Yevdalcia Dimick is 1629102454. The last update date is 2007-07-08.

Lois Elizabeth Yevdalcia Dimick's current location address is 1912 28th Ave, Forest Grove, Oregon. You can contact this provider via phone number 5033807753 and fax number 5033594760. The mailing address for Lois Elizabeth Yevdalcia Dimick is 1912 28th Ave, Forest Grove, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Lois Elizabeth Yevdalcia Dimick
Address 1912 28th Ave, Forest Grove, Oregon
Phone Number 5033807753
Fax Number 5033594760
Sole Proprietor Y
Credentials LMT

NPI Number Detail

NPI Number 1629102454
Provider Enumeration Date 2007-03-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1912 28th Ave
City Forest Grove
State Oregon (OR)
Post Code 97116
Phone Number 5033807753
Fax Number 5033594760

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No 11715
Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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FAQs about Lois Elizabeth Yevdalcia Dimick

What is the unique 10-digit identifier code assigned to Lois Elizabeth Yevdalcia Dimick by the Centers for Medicare & Medicaid Services?

The Lois Elizabeth Yevdalcia Dimick has been issued the NPI (National Provider Identifier) 1629102454 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Lois Elizabeth Yevdalcia Dimick is geographically located?

The Lois Elizabeth Yevdalcia Dimick is physically situated at the following location: 1912 28Th Ave, Forest Grove, OR, 97116.

What is Lois Elizabeth Yevdalcia Dimick's area of expertise and its corresponding taxonomy classification?

The Lois Elizabeth Yevdalcia Dimick's field of specialization is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1629102454 to Lois Elizabeth Yevdalcia Dimick?

The Lois Elizabeth Yevdalcia Dimick received its 1629102454 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.

As of what date was the information regarding Lois Elizabeth Yevdalcia Dimick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lois Elizabeth Yevdalcia Dimick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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