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Organization

EMILIA C BAZAN-GROW

Active
Other names
Pacific Coast Geriatrics
Organization subpart
No

Provider details

NPI number
Authorized official
EMILIA BAZAN-GROW (OWNER)
(503) 750-4937
Entity
Organization

Contact information

Practice address
13235 SW GLENHAVEN ST, BEAVERTON, OR 97005-0958
(503) 750-4937
(503) 746-7445
Mailing address
13235 SW GLENHAVEN ST, BEAVERTON, OR 97005-0958
(503) 750-4937
(503) 746-7445

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
02/11/2021
Last updated
09/07/2022
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