Individual provider · Type 1 NPI

Jonathan Alexander Vashchenko

Massage Therapist · Portland, OR

NPI number 1114406642 Active

Practice location

4160 NE Sandy Blvd # 1100
Portland, OR 97212-5336

Call (503) 249-9000 Map

Mailing address

151 E Lincoln St
Woodburn, OR 97071-5023

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18565 (OR)

Massage Therapist: 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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About NPI 1114406642

Jonathan Alexander Vashchenko's National Provider Identifier is 1114406642, issued on Aug 6, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 6, 2018.