Individual
ARTEM S YELIZAVETSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 NW FLANDERS ST STE 304, PORTLAND, OR 97210-5411
(360) 241-6387
Mailing address
2250 NW FLANDERS ST STE 304, PORTLAND, OR 97210-5411
(360) 241-6387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25528
OR
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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