Individual
MARFA OVCHINNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 N MOLALLLA AVE, MOLALLA, OR 97038
(971) 701-0531
Mailing address
32850 S MORCOM ST, WOODBURN, OR 97071-8783
(971) 701-0531
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22746
OR
Other
Enumeration date
09/22/2019
Last updated
01/31/2022
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