Active NPIIndividual provider

Lyudmila N Avanesov, QMHA

Case Manager/Care Coordinator in Portland, Oregon

NPI Number1306991724
Practice location
310 NW Flanders St, Portland, OR 97209-3941
Fax
503-827-0931
Last updated
July 8, 2007

Lyudmila N Avanesov is a Case Manager/Care Coordinator based in Portland, OR. Lyudmila N Avanesov practices in Portland, OR and has the professional credentials of QMHA. The NPI Number for Lyudmila N Avanesov is 1306991724. The current practice location address for Lyudmila N Avanesov is 310 NW Flanders St, Portland, OR 97209-3941 and can be reached out via phone at 503-827-3949 and via fax at 503-827-0931.

Provider Profile Details

NPI Number
1306991724
Provider Name
Lyudmila N Avanesov
Credential
QMHA
Provider Entity Type
Individual
Gender
Female
Address
310 NW Flanders St, Portland, OR 97209-3941
Phone Number
503-827-3949
Fax Number
503-827-0931
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 NW Flanders St
Portland, OR 97209-3941
State
Oregon
Zip
97209-3941
Phone Number
503-827-3949
Fax Number
503-827-0931
Portland, OR 97209Get directions →

Provider Business Mailing Address Details

Address
14711 SW Beard RD
Apt 101
Beaverton, OR 97007-9120
City
Beaverton
State
OR
Zip
97007-9120

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lyudmila N Avanesov, QMHA?

The NPI number of Lyudmila N Avanesov, QMHA is 1306991724. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Lyudmila N Avanesov, QMHA?

Lyudmila N Avanesov, QMHA is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Lyudmila N Avanesov, QMHA practice?

The practice location is 310 NW Flanders St, Portland, OR 97209-3941. The office can be reached at 503-827-3949 (phone) or 503-827-0931 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306991724 directly on the NPPES registry website.

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