Individual
YANA I BOJILOVA NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1321 NE 99TH AVE, SUITE 100, PORTLAND, OR 97220-9437
(503) 215-9900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201150060NP
OR
363LF0000X
Family Nurse Practitioner
AP60225971
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649582610
—
WA
05
—
500640307
—
OR
Enumeration date
07/07/2010
Last updated
09/18/2020
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