Individual provider · Type 1 NPI

Eva Cicilian, ADVANCE PRACTICE RN

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1801449301 Active

Practice location

1410 NE 106th Ave
Portland, OR 97220-3934

Mailing address

PO Box 8459
Portland, OR 97207-8459

Other practice locations

  • 847 NE 19th Ave Ste 100, Portland, OR 97232-2684 · (503) 238-0769

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X201142770RN (OR)
Case Manager/Care Coordinator 171M00000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X202006868NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1801449301

Eva Cicilian, ADVANCE PRACTICE RN's National Provider Identifier is 1801449301, issued on Jul 23, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Aug 5, 2020.