Individual
MRS. IRINA SHUMSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11050 SE POWELL BLVD, SUITE 378, PORTLAND, OR 97266-1863
(503) 788-0405
Mailing address
11050 SE POWELL BLVD, SUITE 378, PORTLAND, OR 97266-1863
(503) 788-0405
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4847
OR
124Q00000X
Dental Hygienist
RDH 22690
CA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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