person
Mcsonchar Eliazar Monthervil, LMT
Massage Therapist in Clackamas, Oregon
NPI 1023741410

Mcsonchar Eliazar Monthervil is a Massage Therapist based in Clackamas, OR. Mcsonchar Eliazar Monthervil practices in Clackamas, OR and has the professional credentials of LMT. The NPI Number for Mcsonchar Eliazar Monthervil is 1023741410 and holds a License No. 27066 (Oregon).

The current practice location address for Mcsonchar Eliazar Monthervil is 10365 Se Sunnyside Rd Ste 210, Clackamas, OR and can be reached out via phone at 503-887-7725 and via fax at 503-855-3269. You can also correspond with Mcsonchar Eliazar Monthervil through the mailing address at 10365 SE SUNNYSIDE RD STE 210, CLACKAMAS, OR - 97015-5749 (mailing address contact number: ).

Location: 10365 Se Sunnyside Rd Ste 210, Clackamas, OR, 97015-5749
person
Provider Profile Details
NPI Number
1023741410
Provider Name
Mcsonchar Eliazar Monthervil
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
10365 Se Sunnyside Rd Ste 210, Clackamas, OR, 97015-5749
Phone Number
503-887-7725
Fax Number
503-855-3269
Provider Enumeration Date
07/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10365 Se Sunnyside Rd Ste 210
City
State
Zip
97015-5749
Phone Number
503-887-7725
Fax Number
503-855-3269
person
Provider Business Mailing Address Details
Address
10365 Se Sunnyside Rd Ste 210
City
State
Zip
97015-5749
Phone Number
503-887-7725
Fax Number
503-855-3269
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
27066 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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