Individual
IVAN M SOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 13TH ST, HOOD RIVER, OR 97031
(541) 387-6183
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD19474
OR
207Q00000X
Family Medicine Physician
Primary
MD19474
OR
Other
Enumeration date
01/25/2007
Last updated
06/06/2018
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