Individual
BORYS LEONIDOVYCH SMOLYANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
17221 SE DIVISION ST, PORTLAND, OR 97236-1240
(503) 760-0778
Mailing address
11927 NE 30TH CIR, VANCOUVER, WA 98682-7714
(503) 819-4529
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23748
OR
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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