Individual
ANYA NADEJDA MALBIN-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31084 PITTSBURG RD, SAINT HELENS, OR 97051-9136
(503) 442-1673
Mailing address
31084 PITTSBURG RD, SAINT HELENS, OR 97051-9136
(503) 442-1673
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15471
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15471
OREGON BOARD OF MASSAGE
OR
Enumeration date
04/15/2009
Last updated
06/05/2011
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