Individual
IRYNA MATSKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MONROE PKWY STE U, LAKE OSWEGO, OR 97035-8875
(503) 387-3205
Mailing address
5300 PARKVIEW DR APT 1032, LAKE OSWEGO, OR 97035-8724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25067
OR
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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