Stanislav Kukushkin is a massage therapist in Portland, OR. The provider is 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. Stanislav Kukushkin NPI is 1275082067. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
17221 SE DIVISION ST
PORTLAND, OR
ZIP 97236
Phone: (503) 760-0778
The enumeration date for this NPI number is 9/22/2016 and was last updated on 9/22/2016.