Ivan John Konkin
NPI #1265067615 in Portland, Oregon
Provider Information
- NPI Number
- 1265067615
- Entity Type
- Individual
- Name
- Ivan John Konkin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Denturist
- Enumeration Date
- Mar 5, 2020
- Last Updated
- Mar 6, 2020
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Denturist |
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