Individual provider · Type 1 NPI

Evnica I. Korotkikh

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1730768938 Active

Practice location

6428 SE Jennings Ave
Portland, OR 97267-6317

Call (360) 936-3519 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730768938

Evnica I. Korotkikh's National Provider Identifier is 1730768938, issued on Apr 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Apr 5, 2021.