VLADISLAV L POLEVOY

PORTLAND, OR
NPI1578709531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  222390)
Enumeration Date2008-12-22
Last Update Date2008-12-22
Business Address
Mr. VLADISLAV L POLEVOY COTA
6040 SE BELMONT ST
PORTLAND, OR 97215
Phone number: 971-206-5200
Mailing Address
Mr. VLADISLAV L POLEVOY COTA
4560 SE INTERNATIONAL WAY, STE. 100 CONSONUS HEALTHCARE SERVICES ATTN: ANNA BROWNE
MILWAUKIE, OR 97222
Phone number: 971-206-5200
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