Individual provider · Type 1 NPI

Tatyana Kushniryuk, LMT

Massage Therapist · Portland, OR

NPI number 1760861041 Active

Practice location

17221 SE Division St
Portland, OR 97236-1240

Call (503) 760-0778 Map

Fax (503) 760-0753

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18813 (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 1760861041

Tatyana Kushniryuk, LMT's National Provider Identifier is 1760861041, issued on May 20, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Sep 29, 2022.