Organization
EKATERINA SHAVLOVSKY
Active
Other names
Optimal Health Naturopathic clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EKATERINA SHAVLOVSKY ND (NATUROPATH)
(503) 278-7963
Entity
Organization
Contact information
Practice address
7105 SW VARNS ST, SUITE 170, PORTLAND, OR 97223-8148
(503) 278-7963
(206) 600-5562
Mailing address
7105 SW VARNS ST, SUITE 170, PORTLAND, OR 97223-8148
(503) 278-7963
(206) 600-5562
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1596
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205005881
NPI TYPE 1
OR
Enumeration date
03/14/2013
Last updated
04/11/2013
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