MIKHAIL GOVSHIEVICH (NPI# 1154721850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154721850 |
| Entity Type | Individual |
| Full Name | MIKHAIL GOVSHIEVICH |
| Credential | LD |
| Practice Address |
9045 Sw Barbur Blvd. Suit 117 Portland OR 97219 |
| Mailing Address |
4901 Parkview Dr Apt P Lake Oswego OR 97035-4472 |
| Practice Telephone | 5033807306 |
| Mailing Telephone | 5033807306 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | DTO10154441 | OR | Dental Providers |
| Street Address |
9045 SW BARBUR BLVD. SUIT 117 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| 1538307384 | Travis J. Elliott Nd LLC | Naturopath | 1340 Sw Bertha Blvd, Suite 200, Portland, OR 97219 | 2009-02-02 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841642287 | Veronika Buliga | Denturist | 6842 Se 66th Ave, Portland, OR 97206-7449 | 2016-07-11 |
| 1528435237 | Lidiya Bogdan | Denturist | 4637 Se 128th Ave, Portland, OR 97236-3713 | 2015-08-28 |
| 1043595903 | Edward Espinoza Jr. | Denturist | 206 Ne 80th Ave, Portland, OR 97213-7016 | 2011-10-11 |
| 1629308648 | Theodore Keith Dhein | Denturist | 8064 S.e. Harold St., Portland, OR 97206-5148 | 2010-01-14 |
| 1417287244 | Kelly Carbone | Denturist | 980 Forest Ave Ste 104, Portland, ME 04103-3357 | 2009-12-29 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
| 1952551848 | Edward Jerrold Cooper Sr. | Denturist | 4645 South East 85th Ave., Portland, OR 97266 | 2008-09-26 |
| 1669688636 | William Ollenbrook | Denturist | 3131 Se 122nd Ave, Portland, OR 97236-3209 | 2007-05-15 |
| 1558577007 | Eui Young Suk | Denturist | 9234 Ne Glisan St, Portland, OR 97220-4532 | 2007-05-14 |
| 1568529998 | James Clifton Garbarino | Denturist | 1933 Sw Jefferson, Willamette Dental Gr, Portland, OR 97224 | 2007-01-03 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.