Individual provider · Type 1 NPI

Lois Elizabeth Yevdalcia Dimick, LMT

Massage Therapist · Forest Grove, OR

NPI number 1629102454 Active

Practice location

2004 Main St, Suite 204
Forest Grove, OR 97116

Call (503) 380-7753 Map

Fax (503) 359-4760

Mailing address

1912 28th Ave
Forest Grove, OR 97116

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11715 (OR)

Massage Therapist: 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.

2 other providers at this address

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About NPI 1629102454

Lois Elizabeth Yevdalcia Dimick, LMT's National Provider Identifier is 1629102454, issued on Mar 15, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Forest Grove, OR. The record was last updated on Jul 8, 2007.