DIANA SHAPOVALOVA
NPI 1306321906
Massage Therapist in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

Active since September 28, 2018

17221 SE DIVISION ST, PORTLAND, OR 97236(971) 338-8542 Get Directions Write a Review

NPPES record last updated: September 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Diana Shapovalova NPPES

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

DIANA SHAPOVALOVA (NPI 1306321906) is an individual massage therapist in Portland, Oregon, licensed in Oregon (24501) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1306321906

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameDIANA SHAPOVALOVA

Location Address17221 SE DIVISION STPortland, OR 97236-1240

Mailing Address17221 Se Division StPortland, OR 97236-1240 · (971) 338-8542

Phone(971) 338-8542

Sole ProprietorNo

Enumeration DateSeptember 28, 2018

✔ NPI 1306321906 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 · 24501

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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