Individual
YELENA DEMCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 NE MASON ST, PORTLAND, OR 97211-3479
(503) 546-9292
Mailing address
420 NE MASON ST, PORTLAND, OR 97211-3479
(503) 546-9292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200241723RN
OR
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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