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Organization
POWERFULL TOUCH BODY WORK
Active
Organization
POWERFULL TOUCH BODY WORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEI SERGEEVICH KRAVCHENKO SR. LMT (PRESIDENT)
(503) 810-6436
Entity
Organization
Contact information
Practice address
10001 SE SUNNYSIDE RD., CLACKAMAS, OR 97015
(503) 810-6436
(503) 419-6200
Mailing address
13301 SW CLEARVIEW WAY, TIGARD, OR 97223
(503) 810-6436
(503) 419-6200
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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