Individual
EFROSINYA VSHIVKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1084 PARK AVE, WOODBURN, OR 97071-3851
(503) 991-3508
Mailing address
1084 PARK AVE, WOODBURN, OR 97071-3851
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
18168
OR
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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