Individual
JEFFREY T RISKOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(541) 265-2244
Mailing address
11740 NW RIGGEN AVE, 11740 NW RIGGEN AVE, SEAL ROCK, OR 97376-9440
(702) 596-8950
(702) 596-8950
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
204280
OR
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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