Individual
OLGA ROZANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3 MONROE PKWY, LAKE OSWEGO, OR 97035-1486
(503) 387-3205
Mailing address
18 ABELARD ST, LAKE OSWEGO, OR 97035-2342
(503) 704-4017
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20291
OR
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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