Ekaterina Bulaevskaya
Nurse Practitioner - Neonatal
2801 N Gantenbein Ave Nicu
Portland
, Oregon 97227-1623
Ekaterina Bulaevskaya
Nurse Practitioner - Neonatal
2801 N Gantenbein Ave Nicu
Portland
, Oregon 97227-1623
(503) 413-2145
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Ekaterina Bulaevskaya
- 2801 N Gantenbein Ave Nicu
- Portland, OR
- Zip : 97227-1623
- Fax : (503) 413-2145
- Phone : (503) 413-2304
Second Address
- Ekaterina Bulaevskaya
- 2801 N Gantenbein Ave Nicu
- Portland, OR
- Zip : 97227-1623
- Fax : (503) 413-2145
- Phone : (503) 413-2304
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | OR |
National Provider Identifier
| NPI | 1073712386 |
|---|---|
| Provider Name | Ekaterina Bulaevskaya |
| First Address | Portland, OR 97227-1623 |
| Second Address | Portland, OR 97227-1623 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2007 |
| Last Update Date | 16/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.