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1366967879
VLADIMIR NIKOLAYEVICH CHERNYSHEV
PORTLAND, OR
NPI
1366967879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201330050LPN)
Enumeration Date
2017-08-04
Last Update Date
2017-08-04
Business Address
VLADIMIR NIKOLAYEVICH CHERNYSHEV
1130 NW 22ND AVE
PORTLAND, OR 97210-2900
Phone number: 503-229-7137
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Mailing Address
VLADIMIR NIKOLAYEVICH CHERNYSHEV
1790 SE BUSH ST
HILLSBORO, OR 97123-5017
Phone number: 503-927-0884
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