PACIFIC COAST GERIATRICS
NPI 1770175671
Nurse Practitioner - Family in Beaverton, OR

Active since February 11, 2021
13235 SW GLENHAVEN ST, BEAVERTON, OR 97005(503) 750-4937(503) 746-7445 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2022, Aug 23, 2022, Aug 9, 2022 and 1 more (4 updates tracked since 2021).

About Pacific Coast Geriatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC COAST GERIATRICS (NPI 1770175671) is a healthcare organization registered as a family in Beaverton, Oregon and active in the NPI registry since February 2021. The organization lists Emilia Bazan-grow, Owner, as its authorized official.

NPPES Registry Identity

NPI1770175671
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEMILIA C BAZAN-GROW
Location Address13235 SW GLENHAVEN STBeaverton, OR 97005-0958
Mailing Address13235 Sw Glenhaven StBeaverton, OR 97005-0958 · (503) 750-4937 · Fax (503) 746-7445
Fax(503) 746-7445
Organization SubpartNo
Authorized OfficialEmilia Bazan-growOwner · (503) 750-4937
Enumeration DateFebruary 11, 2021
Last NPPES UpdateSeptember 7, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2022
NPI 1770175671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
13235 SW GLENHAVEN ST, Beaverton, OR 97005

Other Names 1

Other NamePacific Coast Geriatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
13235 SW GLENHAVEN ST
BEAVERTON, OR 97005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emilia C Bazan-Grow's NPI number?

The NPI number for Emilia C Bazan-Grow is 1770175671. It was assigned to this organization in the NPPES registry on February 11, 2021. The provider is also known as Pacific Coast Geriatrics.

Where is Emilia C Bazan-Grow located?

Emilia C Bazan-Grow is located at 13235 SW Glenhaven St, Beaverton, OR 97005. The listed phone number is (503) 750-4937.

What is Emilia C Bazan-Grow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Emilia C Bazan-Grow was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.