Individual provider · Type 1 NPI

Krysta Jordan Bialozor

Student in an Organized Health Care Education/Training Program · Beaverton, OR

NPI number 1164128708 Active

Practice location

16365 NW Twin Oaks Dr
Beaverton, OR 97006

Call (503) 828-3402 Map

Mailing address

7147 NE Rocky Brook St
Hillsboro, OR 97124-7279

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1164128708

Krysta Jordan Bialozor's National Provider Identifier is 1164128708, issued on Feb 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beaverton, OR. The record was last updated on Feb 6, 2023.