Individual
NATASHA MILENKAYA UNRUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ELECTROLOGIST
Contact information
Practice address
915 NE 2ND ST RM 6, GRESHAM, OR 97030-7512
(650) 814-0154
Mailing address
481 NE LIBERTY AVE, GRESHAM, OR 97030-7947
(650) 814-0154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10211910
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BAP-E-10211910
HEALTH LICENSING OFFICE
OR
Enumeration date
01/18/2023
Last updated
01/18/2023
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