IGOR GRIBANOVSKIY

PORTLAND, OR
NPI1083435028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2024-10-22
Last Update Date2024-10-22
Business Address
IGOR GRIBANOVSKIY
825 NE 20TH AVE STE 320
PORTLAND, OR 97232-2275
Phone number: 971-429-6321
Mailing Address
IGOR GRIBANOVSKIY
825 NE 20TH AVE STE 320
PORTLAND, OR 97232-2275
Phone number: 971-429-6321