NPI 1003205113

Mariya Zavyalova, LMT

Practitioner Massage Therapist Portland, OR

Practice location

Address: 1017 SW Morrison St STE 411, Portland, OR 97205-2629
Phone: (503) 806-7763
Mailing address: 12711 SE Lydia CT, Portland, OR 97236-4909

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 20380 (OR)

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Registry record

NPI: 1003205113
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2015
Record last updated: 13 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.