Individual
MRS. YELENA RYZHIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5329 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211-3237
(503) 988-5183
Mailing address
421 SW OAK ST, STE.210, PORTLAND, OR 97204-1817
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4201
OR
Other
Enumeration date
09/18/2010
Last updated
10/15/2015
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