Mcsonchar Eliazar Monthervil, LMT

NPI #1023741410 in Clackamas, Oregon

Provider Information

NPI Number: 1023741410
Entity Type: Individual
Name: Mcsonchar Eliazar Monthervil, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 5, 2022
Last Updated: Sep 6, 2022

Practice Location

Address: 10365 SE SUNNYSIDE RD STE 210
City: Clackamas
State: Oregon
ZIP Code: 97015-5749
Phone: (503) 887-7725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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