Individual
NADEJDA PEREVERZINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3910 SE 14TH ST, GRESHAM, OR 97080-7174
(503) 674-5404
Mailing address
3910 SE 14TH ST, GRESHAM, OR 97080-7174
(503) 674-5404
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10460
OR
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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