Individual
GLENATH ELEANOR MOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCBTMB
Contact information
Practice address
4931 SW CHESTNUT PL, BEAVERTON, OR 97005-3570
(503) 641-2070
(503) 213-5941
Mailing address
PO BOX 25561, PORTLAND, OR 97298-0561
(503) 641-2070
(503) 213-5941
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
4198
OR
225700000X
Massage Therapist
Primary
4198
OR
Other
Enumeration date
06/28/2008
Last updated
06/30/2008
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