MEDICARE: SILVIANNA ALBARRAN LMP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA 60608023	WA
2	225700000X	Massage Therapist	OR 22089	OR

General Provider Information

NPI Number	:	1518411719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIANNA ALBARRAN LMP

Provider Business Mailing Address
First Line	:	9705 NE HAZEL DELL AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98665-8056
Country	:	US
Telephone Number	:	360-609-4148
Fax Number	:

Provider Business Practice Location Address
First Line	:	9705 NE HAZEL DELL AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98665-8056
Country	:	US
Telephone Number	:	360-609-4148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2016
Last Update Date	:	08/05/2016

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Directions to “ SILVIANNA ALBARRAN LMP” Practice Location

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