Individual
TATYANA VOSTRIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 731-9539
Mailing address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 731-9539
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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