Individual provider · Type 1 NPI

Diana Shapovalova

Massage Therapist · Portland, OR

NPI number 1306321906 Active

Practice location

17221 SE Division St
Portland, OR 97236-1240

Call (971) 338-8542 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X24501 (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 1306321906

Diana Shapovalova's National Provider Identifier is 1306321906, issued on Sep 28, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2018.