Ernesto Alfonso Lara, L.M.T
Massage Therapist in Hillsboro, OR. Individual provider (NPI-1).
NPI number1699011908
StatusActive
Last updated in NPPESMar 14, 2013
Details
- NPI
- 1699011908
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ernesto Alfonso Lara
- Credential
- L.M.T
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2012
- Last updated
- Mar 14, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 17920 | OR | Yes |
Practice location
5405 Se Alexander StHillsboro, OR 97123-8584
Phone 971-409-8301
Mailing address
2520 Sw 204th AveBeaverton, OR 97006-1871
Phone 971-409-8301
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All 222 Massage Therapist providers in Hillsboro · All 3,897 providers in Hillsboro
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