Individual
MR. ILYA MIKHAYLOVICH ZLOTNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12791 SE 130TH AVE, HAPPY VALLEY, OR 97086-1630
(503) 956-3183
Mailing address
12791 SE 130TH AVE, HAPPY VALLEY, OR 97086-1630
(503) 956-3183
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
HCI000110052
OR
Other
Enumeration date
03/07/2026
Last updated
03/07/2026
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