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NPI 1720521784

IndividualActive

Anzhelika Gavrilovich

NPI 1720521784 · Gerontology Registered Nurse · Portland, OR

Provider details

NPI number: 1720521784
Entity type: Individual
Primary specialty: Gerontology Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 200941904RN (OR)

Practice location

4540 Ne Glisan St

Portland, OR 97213-2333

Phone: (503) 215-3738

More OR providers

Mailing address

4540 Ne Glisan St

Portland, OR 97213-2333

Registry dates

Enumerated: 2016-11-23
Last updated: 2016-11-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anzhelika Gavrilovich — NPI 1720521784, Portland, OR | NPI Central