Individual
ALEKSANDR VAKULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(509) 481-0681
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN60289345
WA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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