Individual
DIANA VASILAUSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1611 SE BYBEE BLVD, PORTLAND, OR 97202-5752
(971) 279-5638
(866) 473-0398
Mailing address
3425 SE BARBA ST, MILWAUKIE, OR 97222-5530
(503) 957-5926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7603
OR
Other
Enumeration date
04/07/2022
Last updated
12/03/2024
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