NPI 1083435028

Igor Gribanovskiy

Practitioner Rehabilitation Practitioner Portland, OR

Practice location

Address: 825 NE 20th Ave STE 320, Portland, OR 97232-2275
Phone: (971) 429-6321

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1083435028
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Oct 2024
Record last updated: 22 Oct 2024

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.