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STANISLAV KUKUSHKIN
NPI 1275082067
Massage Therapist in Portland, OR

Active since September 22, 2016
17221 SE DIVISION ST, PORTLAND, OR 97236(503) 760-0778 Get Directions Write a Review

NPPES record last updated: September 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stanislav Kukushkin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STANISLAV KUKUSHKIN (NPI 1275082067) is an individual massage therapist in Portland, Oregon, licensed in Oregon (21741) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1275082067
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSTANISLAV KUKUSHKIN
Location Address17221 SE DIVISION STPortland, OR 97236
Mailing Address17221 Se Division StPortland, OR 97236 · (503) 760-0778
Phone(503) 760-0778
Sole ProprietorYes
Enumeration DateSeptember 22, 2016
✔ NPI 1275082067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 21741
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.

17221 SE DIVISION ST, Portland, OR 97236
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTUR S SNEGUR LMT
Specialist
17221 SE DIVISION ST, STE. 21
PORTLAND, OR 97236
Multnomah County (503) 761-2110
LINDA D BROWN L.M.T.
Massage Therapist
17221 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (206) 658-5357
MARY VAANDERING
Specialist
17221 SE DIVISION ST, S-21
PORTLAND, OR 97236
Multnomah County (503) 760-0778
ANDRE RAYMOND LAURIER JR. LMT
Massage Therapist
17221 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 760-0778
ALLA A LOBASYUK LMT
Chiropractor (Rehabilitation)
17221 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 453-4436
PACIFIC CHIROPRACTIC & WELLNESS CENTER, LLC
Chiropractor
17221 SE DIVISION ST, STE 21
PORTLAND, OR 97236
Multnomah County (503) 760-0778
MRS. MARY NICOLE GRIZHUK LMT
Massage Therapist
17221 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 760-0778
DIANA SHAPOVALOVA
Massage Therapist
17221 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (971) 338-8542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stanislav Kukushkin's NPI number?

The NPI number for Stanislav Kukushkin is 1275082067. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Stanislav Kukushkin located?

Stanislav Kukushkin practices at 17221 SE Division St, Portland, OR 97236. The listed phone number is (503) 760-0778.

What is Stanislav Kukushkin's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Stanislav Kukushkin was last updated on September 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.