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EVA CICILIAN RN

Other Service Providers Case Manager/Care Coordinator

Provider NPI: 1801449301

Provider Information:
 EVA  CICILIAN RN
Gender: F
Not Sole Proprietor

Practice Location:
847 NE 19TH AVE STE 100  PORTLAND, OR 97232-2684 US
Tel: 503-238-0769  Fax: --

Business Mailing Address:
PO BOX 8459  PORTLAND, OR 97207-8459 US
Tel: 503-238-0769  Fax: --

NPI Information:
NPI: 1801449301
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N171M00000XOther Service Providers
Case Manager/Care Coordinator
Y163WP0808XNursing Service Providers
Registered Nurse
OR201142770RN

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 163WP0808X

Type:

Classification:



Definition:



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