LARISA AVATYUK, LMT
Massage Therapist
Active
Individual
NPI: 1740514314
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 14541 (OR) |
Frequently Asked Questions
NPI 1740514314 is the National Provider Identifier for LARISA AVATYUK, LMT, a Massage Therapist provider located in Portland, OR. This NPI was enumerated on September 29, 2009.
LARISA AVATYUK, LMT practices at 17231 SE DIVISION ST, Portland, OR 97236.
Quick Facts
- NPI
- 1740514314
- Type
- Individual
- Enumerated
- Sep 29, 2009
- Last Updated
- Sep 29, 2009
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