Pavel Maslennikov, LMT, PMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00005672 Issued in WA

Practice address

1151 Commerce Ave.
Longview, WA 98632

Phone

(360) 636-3313

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083834410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 COMMERCE AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323024",
            "telephone_number": "360-636-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 COMMERCE AVE.",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-636-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLENNIKOV",
        "first_name": "PAVEL",
        "credential": "LMT, PMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00005672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Martin
• Tanya Kehaulani Martin, LICSW
• Lucinda Martinez
• Stephanie Martinez
• Shelley Lynn Maryott-Moore, LICSW, GMHS, CMHS
• Christina Mason, PTA
• Linda Joan Mason
• Deana Mateo
• Cassie Annealyce Matherson
• Derek Matlock, PHARM.D.

• Specialist in Longview, WA
• Providers in Longview, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.