MRS. CONSTANCE ERVIN, LMT

Massage Therapist

Active Individual
NPI: 1780006361

Practice Address

289 E ELLENDALE AVE
SUITE 102
Dallas, OR 97338

Phone: (503) 623-5505

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 17273 (OR)

Frequently Asked Questions

NPI 1780006361 is the National Provider Identifier for MRS. CONSTANCE ERVIN, LMT, a Massage Therapist provider located in Dallas, OR. This NPI was enumerated on January 15, 2014.
MRS. CONSTANCE ERVIN, LMT practices at 289 E ELLENDALE AVE, SUITE 102, Dallas, OR 97338.

Quick Facts

NPI
1780006361
Type
Individual
Enumerated
Jan 15, 2014
Last Updated
Jan 15, 2014

Nearby Providers