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ANZHELIKA GAVRILOVICH
NPI 1720521784
Registered Nurse - Gerontology in Portland, OR

Active since November 23, 2016
4540 NE GLISAN ST, PORTLAND, OR 97213(503) 215-3738 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anzhelika Gavrilovich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANZHELIKA GAVRILOVICH (NPI 1720521784) is an individual gerontology provider in Portland, Oregon, licensed in Oregon (200941904RN) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1720521784
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameANZHELIKA GAVRILOVICH
Location Address4540 NE GLISAN STPortland, OR 97213-2333
Mailing Address4540 Ne Glisan StPortland, OR 97213-2333
Phone(503) 215-3738
Sole ProprietorNo
Enumeration DateNovember 23, 2016
✔ NPI 1720521784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License✔ Licensed in OR · 200941904RN
4540 NE GLISAN ST, Portland, OR 97213
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE HEALTH SYSTEM OREGON
Clinic/Center (Multi-Specialty)
4540 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-3738
MRS. JACQUELYN ALICE BENNETT RN
Registered Nurse (Gerontology)
4540 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-3738
MS. SUELLEN YOUNG R.N.
Registered Nurse (Community Health)
4540 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-3738
PAMELA A SAITO R.N.
Registered Nurse
4540 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-3738
BARBARA TANNER R.N.
Registered Nurse
4540 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-3738
SUSAN MARIE WETZEL RD LD
Dietitian, Registered
4540 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-5237
KYLE ANDERSON RN, BSN
Registered Nurse (Community Health)
4540 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-3738
LAWRENCE HANBROOK RN
Registered Nurse
4540 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-3738

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anzhelika Gavrilovich's NPI number?

The NPI number for Anzhelika Gavrilovich is 1720521784. It was assigned to this individual provider in the NPPES registry on November 23, 2016.

Where is Anzhelika Gavrilovich located?

Anzhelika Gavrilovich practices at 4540 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-3738.

What is Anzhelika Gavrilovich's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gerontology, with taxonomy code 163WG0600X.

When was this NPI record last updated?

The NPPES record for Anzhelika Gavrilovich was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.