EVNICA I KOROTKIKH
Student in an Organized Health Care Education/Training Program

Address: 6428 Se Jennings Ave, Portland, OR 97267-6317

EVNICA I KOROTKIKH (NPI# 1730768938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730768938
Entity Type Individual
Full Name EVNICA I KOROTKIKH
Gender Female
Practice Address 6428 Se Jennings Ave
Portland
OR 97267-6317
Practice Telephone 3609363519
Mailing Address 6428 Se Jennings Ave
Portland
OR 97267-6317
Mailing Telephone 3609363519
Certification Date 2021-04-05
Enumeration Date 2021-04-05
Last Update Date 2021-04-05
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address e.bondar@students.clark.edu (School Email) 6428 Se Jennings Ave, Portland, OR 972676317

Office Location

Street Address 6428 SE JENNINGS AVE
City PORTLAND
State OR
Zip Code 97267-6317

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1396342465 Kevin H. Speer, PC Dentist - General Practice 2250 Se Oak Grove Blvd, Ste A, Oak Grove, OR 97267 2020-10-02
1851911036 Michelle Renee Gilham · Michelle Renee Smeltzer Massage Therapist 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 2020-04-17
1629557442 Benchmark Physical Therapy of Or, LLC Occupational Therapist 14874 Se Webster Rd, Milwaukie, OR 97267 2018-08-13
1326541764 Theresa Elaine Day Massage Therapist 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 2018-03-12
1740887249 Bethany Anne Harvey Social Worker - Clinical 14020 Se Briggs St, Milwaukie, OR 97267-1503 2020-10-07
1881211852 Chancellor Health Care of California Ix, Inc. Assisted Living Facility 14550 Se Vista Ln, Milwaukie, OR 97267-1731 2020-06-25
1396243804 Daniela Apetroaie In Home Supportive Care 6742 Se Pine Creek Way, Milwaukie, OR 97267-1935 2018-01-30
1588217616 Comtrans of Oregon, LLC · Comtrans Ambulance - Land Transport 7007 Se Lake Rd, Milwaukie, OR 97267-2105 2019-07-17
1124530043 Mikhail Bondarew Dentist 6902 Se Lake Rd Ste 200, Milwaukie, OR 97267-2148 2017-11-01
1699263020 Randall S Seltmann Counselor - Mental Health 13850 Se Autumn Ridge Ter # 4, Milwaukie, OR 97267-2150 2018-05-01
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780263558 Amanda Graveson Student in an Organized Health Care Education/Training Program 900 Nw Lovejoy St Apt 1010, Portland, OR 97209-3483 2021-04-07
1063090942 Mark Scurrah Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2021-03-31
1407433774 Facundo Gregorio Sanchez Student in an Organized Health Care Education/Training Program 1829 Nw Lovejoy St Unit 212, Portland, OR 97209-1523 2021-03-24
1245816727 Robert Samuel Diaz Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd L-579, Portland, OR 97239 2021-03-23
1023694866 Claire Mccord Conrad Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3098 2021-03-22
1831775527 Douglas Alexander Preston Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd Apt 12, Portland, OR 97239-3079 2021-03-22
1114512332 Diana Karen Lujan Valerio Student in an Organized Health Care Education/Training Program 5415 Sw Westgate Dr, Portland, OR 97221-2409 2021-03-09
1073102869 Brian Michael Thatcher Student in an Organized Health Care Education/Training Program Lifeworks Northwest, 14600 Nw Cornell Road, Portland, OR 97229-5442 2021-01-15
1760079503 Nicolas Robert Fenton Student in an Organized Health Care Education/Training Program 198 Concord St, Portland, ME 04103-3102 2020-12-28
1588269815 Ashley Bullie Koch Student in an Organized Health Care Education/Training Program 2556 Nw Northrup St, Portland, OR 97210-2684 2020-12-03
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97267

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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