MICHAEL RALPH KOLESNIKOV

PORTLAND, OR
NPI1568630580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: OR  200750025NP)
Enumeration Date2008-02-12
Last Update Date2011-04-12
Business Address
MICHAEL RALPH KOLESNIKOV FNP-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8372
Mailing Address
MICHAEL RALPH KOLESNIKOV FNP-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8372
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