Mr Andrei Vladimirovich Mitsourov, LMP in Milton Freewater, OR

Mr Andrei Vladimirovich Mitsourov, LMP is a Massage Therapist based in Milton Freewater, Oregon. Mr Andrei Vladimirovich Mitsourov is licensed to practice in Washington (license number MA 60230518) and his current practice location is 53387 W Crockett Rd, Milton Freewater, Oregon. He can be reached at his office (for appointments etc.) via phone at (509) 540-1665.

NPI number for Mr Andrei Vladimirovich Mitsourov is 1205104775 and his current mailing address is 53387 W Crockett Rd, Milton Freewater, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205104775.

Contact Information

	Mr Andrei Vladimirovich Mitsourov, LMP
	53387 W Crockett Rd, Milton Freewater, OR 97862-7941
	(509) 540-1665
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Andrei Vladimirovich Mitsourov
Gender	Male
Speciality	Massage Therapist
Location	53387 W Crockett Rd, Milton Freewater, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1205104775
Provider Enumeration Date: 12/12/2011
Last Update Date: 12/12/2011

Medical Identifiers

Medical identifiers for Mr Andrei Vladimirovich Mitsourov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205104775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225700000X	Massage Therapist	MA 60230518 (Washington)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Andrei Vladimirovich Mitsourov is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Andrei Vladimirovich Mitsourov, LMP 53387 W Crockett Rd, Milton Freewater, OR 97862-7941 Ph: (509) 540-1665	Mr Andrei Vladimirovich Mitsourov, LMP 53387 W Crockett Rd, Milton Freewater, OR 97862-7941 Ph: (509) 540-1665

Reviews and Comments

Massage Therapist in Milton Freewater, OR

Kaylee Brown, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 85458 Highway 11, Milton Freewater, OR 97862 Phone: 541-938-8300 Fax: 541-938-3424
Heidi Jo Mayberry, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 S Elizabeth St, Milton Freewater, OR 97862 Phone: 509-520-8970
Ms. Lacey Elizabeth Rose Klem, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 85458 Hywy 11, Milton Freewater, OR 97862 Phone: 541-938-8300 Fax: 541-938-3924
Tawnya Lynn Lage, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 84709 Ringer Rd, Milton Freewater, OR 97862 Phone: 509-520-1254
Paksupim Cole, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 618 N Main, Milton Freewater, OR 97862 Phone: 541-861-1066
Danielle Strickland, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 533 S Main St, Milton Freewater, OR 97862 Phone: 509-240-7882

Mr Andrei Vladimirovich Mitsourov, LMP - Massage Therapist in Milton Freewater, OR