Individual
MIKHAIL IZRAYLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12015
OR
1223G0001X
General Practice Dentistry
D12015
OR
Other
Enumeration date
11/27/2023
Last updated
07/11/2025
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