Individual
EVGENY PAVLUSHKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, FRCR
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, GRADUATE MEDICAL EDUCATION, PORTLAND, OR 97239-3098
(503) 494-8652
Mailing address
4474 NW CHANTICLEER DR APT V2, PORTLAND, OR 97229-8798
(503) 572-2378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
PG214881
OR
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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