Doctor Name: | ESPREE ELIZABETH BONTERRE |
NPI Number: | 1063782092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | |
Business Practice Address: | 3849 Sw Hall Blvd Beaverton, OR - 970052049 |
Business Phone Number: | 5035743525 |
Business Fax Number: | 5035975464 |
Mailing Address: | 1327 Se Tacoma St # 347, PORTLAND |
State: | OR |
Postal Code: | 972026639 |
Phone Number: | 5039274156 |
Fax Number: | 5035975464 |
NPI Enumeration Date: | 01/06/2012 |
NPI Last Update Date: | 01/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
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. |