Individual
DALIA IVEKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3181 S.W. SAM JACKSON PARK ROAD, PORTLAND, OR 97239
(503) 494-1654
Mailing address
3181 S.W. SAM JACKSON PARK ROAD, PORTLAND, OR 97239
(503) 494-1654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0615485
WI
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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