Individual
ELIZABETH A MCGONIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1236 LINCOLN ST, EUGENE, OR 97401-3467
(541) 485-6286
Mailing address
1236 LINCOLN ST, EUGENE, OR 97401-3467
(541) 485-6286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5014
OR
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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