Individual
ELENA ZADNIPROVSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 N HAIGHT AVE, PORTLAND, OR 97227-1323
(971) 300-9751
Mailing address
3535 N HAIGHT AVE, PORTLAND, OR 97227-1323
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60629814
WA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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