SearchOregon311ZA0620X

Larisa Kravchuk

NPI 1558837781 · on the registry since 2018 · sole proprietor

Practice

Address
805 Fir Cone Dr Ne
Keizer, OR 97303
Phone
(503) 463-6508

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-15

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