person
Ivan Zablotovskii
Peer Specialist in Portland, Oregon
NPI 1609435320

Ivan Zablotovskii is a Peer Specialist based in Portland, OR. Ivan Zablotovskii practices in Portland, OR. The NPI Number for Ivan Zablotovskii is 1609435320 and holds a License No. (Oregon).

The current practice location address for Ivan Zablotovskii is 605 Se Cesar E Chavez Blvd, Portland, OR and can be reached out via phone at 503-731-9539.

Location: 605 Se Cesar E Chavez Blvd, Portland, OR, 97214-3216
person
Provider Profile Details
NPI Number
1609435320
Provider Name
Ivan Zablotovskii
Credential
Provider Entity Type
Individual
Gender
Male
Address
605 Se Cesar E Chavez Blvd, Portland, OR, 97214-3216
Phone Number
503-731-9539
Fax Number
Provider Enumeration Date
06/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
605 Se Cesar E Chavez Blvd
City
State
Zip
97214-3216
Phone Number
503-731-9539
Fax Number
person
Provider Business Mailing Address Details
Address
605 Se Cesar E Chavez Blvd
City
State
Zip
97214-3216
Phone Number
503-731-9539
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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