Individual provider · Type 1 NPI
Michael Ralph Kolesnikov, FNP-C
Family Nurse Practitioner · Portland, OR
NPI number
1568630580
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 200750025NP (OR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1568630580
Michael Ralph Kolesnikov, FNP-C's National Provider Identifier is 1568630580, issued on Feb 12, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Apr 12, 2011.