Individual
MARTIN SKOVIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8113 SE 13TH AVE, PORTLAND, OR 97202-6607
(503) 451-3926
Mailing address
16777 SE RIVER RD, MILWAUKIE, OR 97267-4506
(503) 758-9127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26364
OR
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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