Individual
DENIS PRIVALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 OAK ST SE STE 5070, SALEM, OR 97301-3998
(503) 561-8565
(503) 561-8560
Mailing address
875 OAK ST SE STE 5070, SALEM, OR 97301-3998
(503) 561-8565
(503) 561-8560
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0101235688
VA
207RN0300X
Nephrology Physician
Primary
MD154116
OR
Other
Enumeration date
07/18/2005
Last updated
05/24/2012
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