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Emilia C Bazan-grow
Family Nurse Practitioner in Beaverton, Oregon
NPI 1770175671

Emilia C Bazan-grow is a Family Nurse Practitioner based in Beaverton, OR and is specialized in Family. Emilia C Bazan-grow practices in Beaverton, OR. The NPI Number for Emilia C Bazan-grow is 1770175671 and holds a License No. (Oregon).

The current practice location address for Emilia C Bazan-grow is 13235 Sw Glenhaven St, Beaverton, OR and can be reached out via phone at 503-750-4937 and via fax at 503-746-7445.

Location: 13235 Sw Glenhaven St, Beaverton, OR, 97005-0958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770175671
Provider Name
Emilia C Bazan-grow
Credential
Provider Entity Type
Organization
Address
13235 Sw Glenhaven St, Beaverton, OR, 97005-0958
Phone Number
503-750-4937
Fax Number
503-746-7445
Provider Enumeration Date
02/11/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13235 Sw Glenhaven St
City
Beaverton
State
Oregon
Zip
97005-0958
Phone Number
503-750-4937
Fax Number
503-746-7445
person
Provider Business Mailing Address Details
Address
13235 Sw Glenhaven St
City
Beaverton
State
Oregon
Zip
97005-0958
Phone Number
503-750-4937
Fax Number
503-746-7445
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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