Healthcare Provider Details

I. General information

NPI: 1851229496
Provider Name (Legal Business Name): LIZBETH MENDEZ OROZCO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6507 SW 190TH AVE
BEAVERTON OR
97078-4564
US

IV. Provider business mailing address

6507 SW 190TH AVE
BEAVERTON OR
97078-4564
US

V. Phone/Fax

Practice location:
  • Phone: 971-533-9254
  • Fax:
Mailing address:
  • Phone: 971-533-9254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number29636
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: