Individual
DR. EMILIA CHRISTINA BAZAN-GROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP,FNP
Contact information
Practice address
13235 SW GLENHAVEN ST, BEAVERTON, OR 97005-0958
(503) 750-4937
Mailing address
13235 SW GLENHAVEN ST, BEAVERTON, OR 97005-0958
(503) 750-4937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850013NP
OR
363LF0000X
Family Nurse Practitioner
AP60048456
WA
363LF0000X
Family Nurse Practitioner
APN000896
NV
Other
Enumeration date
06/30/2006
Last updated
08/14/2014
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