Jonathan Karl Ivankovic

NPI #1083593677 in Portland, Oregon

Provider Information

NPI Number: 1083593677
Entity Type: Individual
Name: Jonathan Karl Ivankovic
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 28, 2025
Last Updated: Aug 28, 2025

Practice Location

Address: 3181 SW SAM JACKSON PARK RD
City: Portland
State: Oregon
ZIP Code: 97239-3011
Phone: (503) 494-8220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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