SVETLANA FEYTSER TISHCHENKO

LEBANON, OR
NPI1821493412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS021289)
Enumeration Date2014-10-25
Last Update Date2021-10-14
Business Address
SVETLANA FEYTSER TISHCHENKO
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 360-910-2384
Mailing Address
SVETLANA FEYTSER TISHCHENKO
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: