Most Relevant Information
Provider Data
| NPI Number: | 1003205113 |
| Provider Name: | MARIYA ZAVYALOVA LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 20380 |
Most Important Dates
| Enumeration Date: | 01/13/2015 |
| Last Updated: | 01/13/2015 |
Provider Practice Location
1017 SW MORRISON ST STE 411
PORTLAND
OR
972052629
Practice Location Phone/Fax
| Phone: | 5038067763 |
| Fax: |
Provider Mailing Location
12711 SE LYDIA CT
PORTLAND
OR
972364909
Provider Mailing Phone/Fax
| Phone: | 5038067763 |
| Fax: |