Individual
ALIONA VASILCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
Mailing address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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