Individual
YELENA KRISHCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 SE 141ST AVE, PORTLAND, OR 97236-2748
(503) 901-1889
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(503) 200-4428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022048557
MO
Other
Enumeration date
04/30/2016
Last updated
11/08/2023
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