JAIME ETHAN BIAVA

PORTLAND, OR
NPI1538545082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  201504133NP-PP)
Enumeration Date2015-08-07
Last Update Date2021-02-05
Business Address
JAIME ETHAN BIAVA PMHNP
5228 NE HOYT ST BLDG B2ND
PORTLAND, OR 97213
Phone number: 503-215-4860
Mailing Address
JAIME ETHAN BIAVA PMHNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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