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1568630580
MICHAEL RALPH KOLESNIKOV
PORTLAND, OR
NPI
1568630580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200750025NP)
Enumeration Date
2008-02-12
Last Update Date
2011-04-12
Business 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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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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