Monika Renee Deshazer

NPI #1174387609 in Fairview, Oregon

Provider Information

NPI Number: 1174387609
Entity Type: Individual
Name: Monika Renee Deshazer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 6, 2024
Last Updated: Feb 6, 2024

Practice Location

Address: 1204 NE 201ST AVE
City: Fairview
State: Oregon
ZIP Code: 97024-2499
Phone: (503) 661-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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Organizations

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