Mrs Lois Elizabeth Yevdalcia Dimick, LMT - Massage Therapist in Forest Grove, OR

Mrs Lois Elizabeth Yevdalcia Dimick, LMT is a Massage Therapist based in Forest Grove, Oregon. Mrs Lois Elizabeth Yevdalcia Dimick is licensed to practice in Oregon (license number 11715) and her current practice location is 2004 Main St, Suite 204, Forest Grove, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 380-7753.

NPI number for Mrs Lois Elizabeth Yevdalcia Dimick is 1629102454 and her current mailing address is 1912 28th Ave, Forest Grove, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629102454.

Contact Information

Mrs Lois Elizabeth Yevdalcia Dimick, LMT
2004 Main St, Suite 204,
Forest Grove, OR 97116
(503) 380-7753
(503) 359-4760

Map and Direction




Healthcare Provider's Profile

Full NameMrs Lois Elizabeth Yevdalcia Dimick
GenderFemale
SpecialityMassage Therapist
Location2004 Main St, Forest Grove, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629102454
  • Provider Enumeration Date: 03/15/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Lois Elizabeth Yevdalcia Dimick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629102454NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist 11715 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lois Elizabeth Yevdalcia Dimick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lois Elizabeth Yevdalcia Dimick, LMT
1912 28th Ave,
Forest Grove, OR 97116

Ph: (503) 380-7753
Mrs Lois Elizabeth Yevdalcia Dimick, LMT
2004 Main St, Suite 204,
Forest Grove, OR 97116

Ph: (503) 380-7753

Reviews and Comments


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