IndividualActive

Mr. Andrei Vladimirovich Mitsourov

LMP

Massage Therapist

NPI: 1205104775Milton Freewater, Oregon, 97862(509) 540-1665Male

About Mr. Andrei Vladimirovich Mitsourov

Mr. Andrei Vladimirovich Mitsourov, LMP, is a male healthcare professional specializing in Massage Therapist, registered under National Provider Identifier (NPI) number 1205104775. Their primary practice is located at 53387 W CROCKETT RD, Milton Freewater, Oregon 97862.

Patients can reach the office at (509) 540-1665. Mr. Andrei Vladimirovich Mitsourov has been NPI-registered since 2011.

Doctor Details

Identity & Credentials

NPI Number: 1205104775
Entity Type: Individual
First Name: Andrei
Last Name: Mitsourov
Credential: LMP
Gender: Male
Sole Proprietor: Yes
Status: active

Primary Practice Location

Address: 53387 W CROCKETT RD
City: Milton Freewater
State: Oregon
ZIP: 97862-7941
Country: United States
Phone: (509) 540-1665

Specialty & Taxonomy

Primary Specialty: Massage Therapist
Classification: Massage Therapist
Taxonomy Code: 225700000X

NPI Registration

Enumeration Date: Dec 12, 2011
Last Updated: Dec 12, 2011
Certification Date

Mailing Address

Address: 53387 W CROCKETT RD
City: MILTON FREEWATER
State: OR
ZIP: 978627941

Medicare Enrollment

Medicare Enrolled: No
Can Order/Refer: No
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Mr. Andrei Vladimirovich Mitsourov's NPI number?

Mr. Andrei Vladimirovich Mitsourov's National Provider Identifier (NPI) is 1205104775. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Mr. Andrei Vladimirovich Mitsourov specialize in?

Mr. Andrei Vladimirovich Mitsourov specializes in Massage Therapist.

Where is Mr. Andrei Vladimirovich Mitsourov located?

Mr. Andrei Vladimirovich Mitsourov practices at 53387 W CROCKETT RD, Milton Freewater, Oregon 97862. You can reach them by phone at (509) 540-1665.

Does Mr. Andrei Vladimirovich Mitsourov accept Medicare?

Based on available data, Mr. Andrei Vladimirovich Mitsourov is not currently enrolled in the Medicare program.

Does Mr. Andrei Vladimirovich Mitsourov offer telehealth or virtual visits?

Mr. Andrei Vladimirovich Mitsourov does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Andrei Vladimirovich Mitsourov is 1205104775.