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Leonid Potryasov, MA60290799

NPI 1043550866 · on the registry since 2013 · sole proprietor

Practice

Address
11300 Ne Fourth Plain Blvd
Vancouver, WA 98662
Phone
(360) 931-8054
Fax
(360) 882-8088
Organisation at this address
Healing Touch
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington