Individual
ELLENJOY BASCONCILLO VILLARUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(253) 678-2734
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
OR
Other
Enumeration date
10/01/2025
Last updated
11/02/2025
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