EMILIA C BAZAN-GROW

BEAVERTON, OR
NPI1770175671
Other NamePACIFIC COAST GERIATRICS
Entity TypeOrganization
Authorized ContactEMILIA BAZAN-GROW
Owner
503-750-4937
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2021-02-11
Last Update Date2022-09-07
Business Address
EMILIA C BAZAN-GROW
13235 SW GLENHAVEN ST
BEAVERTON, OR 97005-0958
Phone number: 503-750-4937
Mailing Address
EMILIA C BAZAN-GROW
13235 SW GLENHAVEN ST
BEAVERTON, OR 97005-0958
Phone number: 503-750-4937