Individual
BLANKA NYVLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7357 SW BEVELAND RD, SUITE 200, TIGARD, OR 97223-8844
(503) 670-4941
(503) 670-4954
Mailing address
4629 LAKEVIEW BLVD, LAKE OSWEGO, OR 97035-5453
(503) 803-6671
(503) 670-4954
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
11749
OR
Other
Enumeration date
01/14/2008
Last updated
02/19/2008
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