WILLIAM PERVISKY

PORTLAND, OR
NPI1871871186
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201141329RN)
Enumeration Date2011-08-03
Last Update Date2011-08-03
Business Address
Mr. WILLIAM PERVISKY RN
5926 SE 15TH AVE.
PORTLAND, OR 97202
Phone number: 503-458-6463
Mailing Address
Mr. WILLIAM PERVISKY RN
PO BOX 82104
PORTLAND, OR 97282-0104
Phone number:
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