Individual
MRS. NATALYA BALANETSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
10202 SE 32ND AVE STE 701, MILWAUKIE, OR 97222-3625
(971) 345-5060
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201250039NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202111333NP-PP
OR
Other
Enumeration date
08/02/2012
Last updated
02/28/2022
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