Whalio Doctors

NPI 1003119868

Valeriy Igumnov, RN

Practitioner Registered Nurse Portland, OR

Practice location

Address
847 NE 19th Ave Suite 100, Portland, OR 97232-2684
Phone
(503) 238-0769
Fax
(503) 552-6208
Mailing address
PO Box 8459, Portland, OR 97207-8459

Registered specialties (2)

Registered Nurse Primary
Nursing Service Providers Taxonomy 163W00000X Licence 201040792RN (OR)
Case Manager/Care Coordinator
Other Service Providers Taxonomy 171M00000X Licence 201040792RN (OR)

Registry record

NPI
1003119868
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Dec 2010
Record last updated
11 Mar 2014

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.