IAN THOMAS DRAKULICH

PORTLAND, OR
NPI1538636519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201230436lpn)
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
IAN THOMAS DRAKULICH LPN
8517 SE 17TH AVE
PORTLAND, OR 97202-7347
Phone number: 503-542-4800
Mailing Address
IAN THOMAS DRAKULICH LPN
2925 SE 87TH AVE
PORTLAND, OR 97266-1594
Phone number: 971-303-1616
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