Individual
MRS. NELYA YURIYEVNA PAVLENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 NE 139TH ST STE 130, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1762
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60574523
WA
207Q00000X
Family Medicine Physician
ML 60377109
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032772
—
WA
Enumeration date
07/15/2013
Last updated
03/24/2021
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