Provider Demographics
NPI:1326930371
Name:PAVLIN, BORIS (MD MPH FACPM FIDSA)
Entity type:Individual
Prefix:DR
First Name:BORIS
Middle Name:
Last Name:PAVLIN
Suffix:
Gender:M
Credentials:MD MPH FACPM FIDSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9596 NW EMBER LN
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-6522
Mailing Address - Country:US
Mailing Address - Phone:503-594-4523
Mailing Address - Fax:
Practice Address - Street 1:20 AVENUE APPIA
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:GENEVA
Practice Address - Zip Code:12110
Practice Address - Country:CH
Practice Address - Phone:079-506-7562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA557782083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine