DR. EMILIA CHRISTINA BAZAN-GROW (NPI# 1902835275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902835275 |
| Entity Type | Individual |
| Full Name | DR. EMILIA CHRISTINA BAZAN-GROW |
| Credential | DNP,FNP |
| Practice Address |
13235 Sw Glenhaven St Beaverton OR 97005-0958 |
| Practice Telephone | 5037504937 |
| Mailing Telephone | 5037504937 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60048456 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200850013NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN000896 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13235 SW GLENHAVEN ST |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-0958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821504598 | Charles D. Rubley Dba Beaverton Medical Clinic | Nurse Practitioner | 12815 Us Hwy 278, Beaverton, AL 35544 | 2017-12-18 |
| 1619083870 | Elyn M Lewis | Nurse Practitioner | 12270 Sw 1st St, Suite 200, Beaverton, OR 97005-2848 | 2006-08-21 |
| 1982682035 | Karen Ann Riesinger | Nurse Practitioner | 17175 Sw Tualatin Valley Hwy Ste A, Beaverton, OR 97003-4584 | 2006-01-07 |
| 1235136615 | Deborah A. Loewer | Nurse Practitioner | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2005-06-30 |
| 1508316878 | Karletia Lewis | Nurse Practitioner | 14795 Sw Murray Scholls Dr Ste 121, Beaverton, OR 97007-9713 | 2016-10-10 |
| 1104271600 | Kathryn Marie Lund | Nurse Practitioner | 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007-9475 | 2016-05-03 |
| 1275936445 | Susan M Knoerr | Nurse Practitioner | 439 S Ross St, Beaverton, MI 48612-9101 | 2014-10-02 |
| 1831517507 | Trisha Haskins | Nurse Practitioner | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2014-03-31 |
| 1538583471 | Joana Silva | Nurse Practitioner | 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005-1342 | 2014-02-12 |
| 1225314792 | Lydia C Warner | Nurse Practitioner | 1500 Nw Bethany Blvd Ste 200, Beaverton, OR 97006-5236 | 2011-10-28 |
| Find all providers in BEAVERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.