NPI 1083955157

Ekaterina Shavlovsky

Organisation Health Maintenance Organization Portland, OR

Practice location

Address: 7105 SW Varns St Suite 170, Portland, OR 97223-8148
Phone: (503) 278-7963
Fax: (206) 600-5562

Authorised official

Name: Ekaterina Shavlovsky
Title: Naturopath
Phone: (503) 278-7963

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 1596 (OR)

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Registry record

NPI: 1083955157
Entity type: Organization
NPI issued: 14 Mar 2013
Record last updated: 11 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.