Individual
LYUDMILA LIKHONINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660
Mailing address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA191800
OR
363AM0700X
Medical Physician Assistant
—
OR
Other
Enumeration date
04/15/2019
Last updated
03/22/2021
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