Provider Demographics
NPI:1083283584
Name:POSTEVKA, LYUDMILA (RDH)
Entity Type:Individual
Prefix:
First Name:LYUDMILA
Middle Name:
Last Name:POSTEVKA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:LYUDMILA
Other - Middle Name:
Other - Last Name:PUKAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDH
Mailing Address - Street 1:1189 SW BINFORD LAKE PKWY
Mailing Address - Street 2:
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97080-7895
Mailing Address - Country:US
Mailing Address - Phone:503-358-8929
Mailing Address - Fax:
Practice Address - Street 1:10209 SE SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9782
Practice Address - Country:US
Practice Address - Phone:800-813-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH8143124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist