Individual provider · Type 1 NPI
Darya Balanetskaya, ACPCNP
Gerontology Nurse Practitioner · Portland, OR
NPI number
1457012791
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 202206690NP-PP (OR) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 202206690NP-PP (OR) |
| Primary Care Nurse Practitioner | 363LP2300X | 202206690NP-PP (OR) |
| Registered Nurse | 163W00000X | 201504283RN (OR) |
Gerontology Nurse Practitioner: Definition to come...
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Other gerontology nurse practitioner providers in Portland
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About NPI 1457012791
Darya Balanetskaya, ACPCNP's National Provider Identifier is 1457012791, issued on Jan 8, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Jun 9, 2026.