Individual
ELISABETH CANDELARIA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3043
(360) 993-3047
Mailing address
3515 SW 87TH AVE APT 5, PORTLAND, OR 97225-2834
(541) 956-3020
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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