Crockett, Eliza Lynn

Crockett, Eliza Lynn is an sole proprietor health care provider with primary practice located at 3800 Sw Cedar Hills Blvd Ste 193, Beaverton OR 97005-2027. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Crockett, Eliza Lynn can be contacted via phone (503) 643-3827.

Contact Information

Primary practice address
3800 Sw Cedar Hills Blvd Ste 193 Beaverton OR 97005-2027
Fax:
Website:

Health care specialties

Profile Details

NPI number 1740338284
LBN Legal business name Crockett, Eliza Lynn
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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