Individual provider · Type 1 NPI

Irina Kilyushik, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1326731530 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Mailing address

3448 SE 164th Ave
Portland, OR 97236-1876

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA216202 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1326731530

Irina Kilyushik, PA-C's National Provider Identifier is 1326731530, issued on Jun 1, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jun 28, 2023.