SearchOregon332B00000X

Pavel Foksha

NPI 1396871083 · on the registry since 2007 · sole proprietor

Practice

Address
4000 Se 82nd Ave
Suite 1500
Portland, OR 97266
Phone
(503) 772-5333
Fax
(503) 772-5366
Organisation at this address
Healthcare Medical Supply
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
332B00000X
332B00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-12

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