| NPI | 1770175671 |
|---|---|
| Other Name | PACIFIC COAST GERIATRICS |
| Entity Type | Organization |
| Authorized Contact | EMILIA BAZAN-GROW Owner 503-750-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2022-09-07 |