Provider Demographics
NPI:1790671261
Name:STECKEL, ELIZABETH JOY (LMT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JOY
Last Name:STECKEL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:REMY
Other - Middle Name:
Other - Last Name:STECKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:7033 N CHARLESTON AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97203-4895
Mailing Address - Country:US
Mailing Address - Phone:503-544-6238
Mailing Address - Fax:
Practice Address - Street 1:2215 N LOMBARD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-5737
Practice Address - Country:US
Practice Address - Phone:503-893-4407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-13
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR28971225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist