JONATHAN ALEXANDER VASHCHENKO

PORTLAND, OR
NPI1114406642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  18565)
Enumeration Date2018-08-06
Last Update Date2018-08-06
Business Address
JONATHAN ALEXANDER VASHCHENKO
4160 NE SANDY BLVD # 1100
PORTLAND, OR 97212-5336
Phone number: 503-249-9000
Mailing Address
JONATHAN ALEXANDER VASHCHENKO
151 E LINCOLN ST
WOODBURN, OR 97071-5023
Phone number: