Individual
SANDRA ILOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15640 NW LAIDLAW RD STE 102, PORTLAND, OR 97229-3828
(503) 764-0100
(503) 536-4260
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD186383
OR
Other
Enumeration date
03/26/2015
Last updated
05/24/2022
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