Provider Demographics
NPI:1285951293
Name:ROWLEY, ELIZA ANN (LAC)
Entity type:Individual
Prefix:MS
First Name:ELIZA
Middle Name:ANN
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ELIZA
Other - Middle Name:ANN
Other - Last Name:ROWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ELIZA WORTH MCEMRYS
Mailing Address - Street 1:12165 SE OATFILED ROAD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222
Mailing Address - Country:US
Mailing Address - Phone:805-452-3193
Mailing Address - Fax:
Practice Address - Street 1:2080 SE OAK GROVE BLVD #9
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267
Practice Address - Country:US
Practice Address - Phone:805-452-3193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13576171100000X
CA13576171100000X
ORAC187624171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist