person
Michael Ralph Kolesnikov, FNP-C
Family Nurse Practitioner in Portland, Oregon
NPI 1568630580

Michael Ralph Kolesnikov is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Michael Ralph Kolesnikov practices in Portland, OR and has the professional credentials of FNP-C. The NPI Number for Michael Ralph Kolesnikov is 1568630580 and holds a License No. 200750025NP (Oregon).

The current practice location address for Michael Ralph Kolesnikov is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8372.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1568630580
Provider Name
Michael Ralph Kolesnikov
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-8372
Fax Number
Provider Enumeration Date
02/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8372
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8372
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
200750025NP (Oregon)
Definition
Definition to come...
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