Individual
MRS. MICHELLE DENICE KOVACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
4577 ROLLING MEADOWS DR, WASHOUGAL, WA 98671-8624
(360) 980-2117
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201130059LPN
OR
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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