Shura Alexey Frolov in Portland - Massage Therapist
Shura Alexey Frolov - NPI 1063629038
Shura Alexey Frolov is a Massage Therapist in Portland, Oregon. Shura Alexey Frolov practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Shura Alexey Frolov is 1063629038. The last update date is 2007-07-08.
Shura Alexey Frolov's current location address is 5820 Sw Kelly Ave, Portland, Oregon. You can contact this provider via phone number 5032937600. The mailing address for Shura Alexey Frolov is 5820 Sw Kelly Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shura Alexey Frolov |
|---|---|
| Address | 5820 Sw Kelly Ave, Portland, Oregon |
| Phone Number | 5032937600 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1063629038 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5820 Sw Kelly Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393729 |
| Phone Number | 5032937600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 13300 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the unique 10-digit identifier code issued to Shura Alexey Frolov by the Centers for Medicare & Medicaid Services?
The Shura Alexey Frolov has been assigned the NPI (National Provider Identifier) 1063629038 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shura Alexey Frolov?
The Shura Alexey Frolov is physically situated at 5820 Sw Kelly Ave, in the city of Portland, state of OR, with the postal code 972393729.
What is the Shura Alexey Frolov's specialty and taxonomy code?
The Shura Alexey Frolov's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063629038 to Shura Alexey Frolov?
The Shura Alexey Frolov received its 1063629038 assignment from the Centers for Medicare & Medicaid Services on 2007-05-17.
When was the information regarding Shura Alexey Frolov, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shura Alexey Frolov, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1881699460
Address: 8080 N Central Expy, Dallas, TX