MRS. LOIS ELIZABETH YEVDALCIA DIMICK


Address: 2004 Main St, Suite 204, Forest Grove, OR 97116
Phone: 5033807753

MRS. LOIS ELIZABETH YEVDALCIA DIMICK (NPI# 1629102454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629102454
Entity Type Individual
Full Name MRS. LOIS ELIZABETH YEVDALCIA DIMICK
Other Name MISS LOIS ELIZABETH YEVDALCIA CAMARILLO
Credential LMT
Practice Address 2004 Main St
Suite 204
Forest Grove
OR 97116
Mailing Address 1912 28th Ave
Forest Grove
OR 97116
Practice Telephone 5033807753
Practice Fax Number 5033594760
Mailing Telephone 5033807753
Mailing Fax Number 5033594760
Enumeration Date 2007-03-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 11715 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2004 MAIN ST
SUITE 204
City FOREST GROVE
State OR
Zip Code 97116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124286125 Maudeen Grace Jordan Social Worker 2004 Main St, Suite 203, Forest Grove, OR 97116-2349 2008-05-27
1518088012 Tonnie Irene White Massage Therapist 2004 Main St, Ste 202, Forest Grove, OR 97116 2007-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780220988 Jenny Park Social Worker 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 2019-11-22
1447742077 Kimberly K Sabin Doula 1239 Goff Rd, Forest Grove, OR 97116 2018-05-30
1891205266 Sonam Narayan Optometrist 2221 Pacific Avenue, Forest Grove, OR 97116 2017-10-11
1013260181 Sharon Louise Benjamin Nurse Practitioner 2724 Harvest Ct, Forest Grove, OR 97116 2012-10-25
1336445535 Shane Michael Peterson Physical Therapist 3300 19th Avenue, Forest Grove, OR 97116 2011-02-04
1023324415 Kara Marie Cooper Registered Nurse 2221 Oak St, Forest Grove, OR 97116 2010-08-24
1811229792 Rachel Lucinda Erin Dilly Speech-Language Pathologist 3300 19th Ave., Forest Grove, OR 97116 2010-02-03
1720286339 Thuymai Anna Fee Physical Therapist Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 2007-07-05
1023159936 Ninette Kay Foster Contractor 2329 Pacific Ave., Forest Grove, OR 97116 2007-02-12
1063573970 James D Surface Physical Therapist 1909 Mountain View Ln #300, Forest Grove, OR 97116 2006-12-13
Find all providers in zip 97116

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306480249 Maryanne Elizabeth Schiller Massage Therapist 2328 Pacific Ave Rm 500, Forest Grove, OR 97116-2450 2019-11-04
1619496429 Kimber Le Hardin Massage Therapist 2004 Main St Ste 311, Forest Grove, OR 97116-7338 2017-09-12
1720481518 Restore Massage Therapy, Inc Massage Therapist 1922 21st Ave, Forest Grove, OR 97116-1638 2014-10-07
1477891323 Shannon Raphael Hallberg Massage Therapist 2318 Pacific Ave, Forest Grove, OR 97116-2450 2013-01-28
1295007466 Alan Robert Liljenberg Massage Therapist 1911 Mountain View Ln Ste 400, Forest Grove, OR 97116-2248 2012-02-03
1356638712 Jeremiah Joseph Klingler Massage Therapist 2735 20th Pl Ste A, Forest Grove, OR 97116-2890 2011-07-06
1063666451 Theron A. Chandler Massage Therapist 1802 Tamarack Way, Forest Grove, OR 97116-2155 2008-11-11
1275674210 Karen Anne Sotto Massage Therapist 2313 A St, Forest Grove, OR 97116-1405 2007-02-11
1053359521 Melinda Grace Apodaca Massage Therapist 1922 21st Ave., Forest Grove, OR 97116 2006-06-04
1528665502 Jaclyn Sorbets Massage Therapist 3838 Pacific Ave, Forest Grove, OR 97116-2224 2020-10-03
Find all providers in FOREST GROVE

Competitor

Search similar providers

City FOREST GROVE
Zip Code 97116

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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