Michael Ralph Kolesnikov in Portland - Family
Michael Ralph Kolesnikov - NPI 1568630580
Michael Ralph Kolesnikov is a Family in Portland, Oregon. Michael Ralph Kolesnikov practices all healthcare services and medical treatments related to Family. The NPI Number for Michael Ralph Kolesnikov is 1568630580. The last update date is 2011-04-12.
Michael Ralph Kolesnikov's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034948372. The mailing address for Michael Ralph Kolesnikov is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Ralph Kolesnikov |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034948372 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP-C |
NPI Number Detail
| NPI Number | 1568630580 |
|---|---|
| Provider Enumeration Date | 2008-02-12 |
| Last Updated Date | 2011-04-12 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034948372 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 200750025NP |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique 10-digit identifier code assigned to Michael Ralph Kolesnikov by the Centers for Medicare & Medicaid Services?
The Michael Ralph Kolesnikov has been issued the NPI (National Provider Identifier) 1568630580 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Michael Ralph Kolesnikov's physical address?
The Michael Ralph Kolesnikov is physically located at 3181 Sw Sam Jackson Park Rd, in the city of Portland, OR, with the postal code 972393011.
What is the area of specialization for Michael Ralph Kolesnikov, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Ralph Kolesnikov is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568630580 to Michael Ralph Kolesnikov?
The Centers for Medicare & Medicaid Services originally issued the 1568630580 to Michael Ralph Kolesnikov on 2008-02-12.
When was the information regarding Michael Ralph Kolesnikov most recently updated?
The details pertaining to the Michael Ralph Kolesnikov, including its address, specialty, and other relevant information, were last refreshed on 2011-04-12.