Whalio Doctors

NPI 1154721850

Mikhail Govshievich, LD

Practitioner Denturist Portland, OR

Practice location

Address
9045 SW Barbur Blvd. Suit 117, Portland, OR 97219
Phone
(503) 380-7306
Mailing address
4901 Parkview Dr APT P, Lake Oswego, OR 97035-4472

Registered specialties

Denturist Primary
Dental Providers Taxonomy 122400000X Licence DTO10154441 (OR)

Registry record

NPI
1154721850
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Aug 2014
Record last updated
19 Sep 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.