DR. EMILIA CHRISTINA BAZAN-GROW DNPFNP NPI 1902835275

NPI Information

NPI: 1902835275
Provider Name: DR. EMILIA CHRISTINA BAZAN-GROW, DNP,FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
13235 SW GLENHAVEN ST
BEAVERTON, OR
ZIP 97005
Phone: (503) 750-4937
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DR. Emilia Christina Bazan-grow, DNP,FNP is a family nurse practitioner in Beaverton, OR. DR. Emilia Christina Bazan-grow, DNP,FNP NPI is 1902835275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13235 SW GLENHAVEN ST
BEAVERTON, OR
ZIP 97005-958
Phone: (503) 750-4937

The NPI 1902835275 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 8/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN000896	NEVADA	No
2	363LF0000X	Nurse Practitioner	Family	200850013NP	OREGON	Yes
3	363LF0000X	Nurse Practitioner	Family	AP60048456	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103358	MEDICARE PIN	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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