Active NPIIndividual providerSole proprietor

Dr. Emilia C Bazan-Grow, DNP, FNP

Nurse Practitioner, Family in Beaverton, Oregon

NPI Number1902835275
Practice location
13235 SW Glenhaven St, Beaverton, OR 97005-0958
Fax
—
Last updated
August 14, 2014

Emilia Christina Bazan-Grow is a Nurse Practitioner, Family based in Beaverton, OR. Emilia Christina Bazan-Grow practices in Beaverton, OR and has the professional credentials of DNP, FNP. The NPI Number for Emilia Christina Bazan-Grow is 1902835275 and holds a License No. APN000896 (NV). The current practice location address for Emilia Christina Bazan-Grow is 13235 SW Glenhaven St, Beaverton, OR 97005-0958 and can be reached out via phone at 503-750-4937.

Provider Profile Details

NPI Number
1902835275
Provider Name
Emilia Christina Bazan-Grow
Credential
DNP, FNP
Provider Entity Type
Individual
Gender
Female
Address
13235 SW Glenhaven St, Beaverton, OR 97005-0958
Phone Number
503-750-4937
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
June 30, 2006
Last Update Date
August 14, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
13235 SW Glenhaven St
Beaverton, OR 97005-0958
State
Oregon
Zip
97005-0958
Phone Number
503-750-4937
Beaverton, OR 97005Get directions →

Provider Business Mailing Address Details

Address
13235 SW Glenhaven St
Beaverton, OR 97005-0958
City
Beaverton
State
OR
Zip
97005-0958
Phone Number
503-750-4937

License Information

License Number (1)
APN000896
License State (1)
NV
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
200850013NP
License State (2)
OR
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (3)
AP60048456
License State (3)
WA
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Emilia C Bazan-Grow, DNP, FNP?

The NPI number of Dr. Emilia C Bazan-Grow, DNP, FNP is 1902835275. It was assigned on June 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Emilia C Bazan-Grow, DNP, FNP?

Dr. Emilia C Bazan-Grow, DNP, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NV under license number APN000896.

Where does Dr. Emilia C Bazan-Grow, DNP, FNP practice?

The practice location is 13235 SW Glenhaven St, Beaverton, OR 97005-0958. The office can be reached at 503-750-4937 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902835275 directly on the NPPES registry website.

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