IndividualActive
Constance Ervin, LMT
NPI 1780006361 · Massage Therapist · Dallas, OR
Provider details
- NPI number
- 1780006361
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 17273 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
289 E Ellendale Ave
Suite 102
Dallas, OR 97338-1580
Phone: (503) 623-5505
Approximate (ZIP-level) locationGet directions
Mailing address
289 E Ellendale Ave
Dallas, OR 97338-1580
Registry dates
- Enumerated
- 2014-01-15
- Last updated
- 2014-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.