IndividualActive
Mariya Zavyalova, LMT
NPI 1003205113 · Massage Therapist · Portland, OR
Provider details
- NPI number
- 1003205113
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20380 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1017 Sw Morrison St Ste 411
Portland, OR 97205-2629
Phone: (503) 806-7763
Approximate (ZIP-level) locationGet directions
Mailing address
12711 Se Lydia Ct
Portland, OR 97236-4909
Registry dates
- Enumerated
- 2015-01-13
- Last updated
- 2015-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.