Larisa Kravchuk

NPI #1558837781 in Keizer, Oregon

Provider Information

NPI Number
1558837781
Entity Type
Individual
Name
Larisa Kravchuk
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Oct 15, 2018
Last Updated
Oct 15, 2018

Practice Location

Address
805 FIR CONE DR NE
City
Keizer
State
Oregon
ZIP Code
97303-4328
Phone
(503) 463-6508

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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