Diana Shapovalova - Portland, OR

Diana Shapovalova

Massage Therapist in Portland, Oregon

NPI 1306321906

Diana Shapovalova is a Massage Therapist based in Portland, OR. Diana Shapovalova practices in Portland, OR. The NPI Number for Diana Shapovalova is 1306321906 and holds a License No. 24501 (Oregon).

The current practice location address for Diana Shapovalova is 17221 Se Division St, Portland, OR and can be reached out via phone at 971-338-8542.

Location: 17221 Se Division St, Portland, OR, 97236-1240

NPI Number

1306321906

Provider Name

Diana Shapovalova

Credential

Provider Entity Type

Individual

Gender

Female

Address

17221 Se Division St, Portland, OR, 97236-1240

Phone Number

971-338-8542

Fax Number

Provider Enumeration Date

09/28/2018

Last Update Date

03/10/2024

Address

17221 Se Division St

City

Portland

State

Oregon

Zip

97236-1240

Phone Number

971-338-8542

Fax Number

Address

17221 Se Division St

City

Portland

State

Oregon

Zip

97236-1240

Phone Number

971-338-8542

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Massage Therapist

Speciality

Taxonomy

225700000X

License No.

24501 (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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