Individual
LILIYA A IGNASHOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
623 NE 160TH AVE, PORTLAND, OR 97230-5702
(503) 502-0701
Mailing address
623 NE 160TH AVE, PORTLAND, OR 97230-5702
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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