Search › Oregon › 124Q00000X
Lyubov Bazyuk
NPI 1104311414 · on the registry since 2018 · sole proprietor
Practice
- Address
- 10535 Ne Glisan St
Portland, OR 97220 - Phone
- (503) 444-2824
- Organisation at this address
- Dqcgm Of Oregon Llc
Gateway Dental Surgery CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon