Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anatoliy Vlasenko, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083174924

Dr. Anatoliy Vlasenko, MD is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7551
Fax: (503) 494-4997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD211230 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083174924
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

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