Ervin, Constance Jo

Ervin, Constance Jo is an sole proprietor health care provider with primary practice located at 289 E Ellendale Ave Suite 102, Dallas OR 97338-1580. 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. Ervin, Constance Jo can be contacted via phone (503) 623-5505.

Contact Information

Primary practice address
289 E Ellendale Ave Suite 102 Dallas OR 97338-1580
Phone: (503) 623-5505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 17273 Oregon

Profile Details

NPI number 1780006361
LBN Legal business name Ervin, Constance Jo
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2014
Last updated Jan 15th, 2014 - about 12 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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