IVAN ZABLOTOVSKII

PORTLAND, OR
NPI1609435320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2019-06-06
Last Update Date2019-06-06
Business Address
IVAN ZABLOTOVSKII
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-3216
Phone number: 503-731-9539
Mailing Address
IVAN ZABLOTOVSKII
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214-3216
Phone number: 503-731-9539