Individual
MRS. IRENA ANTONOVSKA MITEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
430 WASHINGTON ST SW, ALBANY, OR 97321-2372
(760) 567-9107
Mailing address
4274 NW CANARY PL, CORVALLIS, OR 97330-2270
(541) 754-2513
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13329
OR
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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