Provider Demographics
NPI:1164734398
Name:FERREIRA, BIANCA ELIZABETH (RN)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:ELIZABETH
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 NE 146TH AVE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-4264
Mailing Address - Country:US
Mailing Address - Phone:503-309-8724
Mailing Address - Fax:502-206-5512
Practice Address - Street 1:217 NE 146TH AVE
Practice Address - Street 2:UNIT 2
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-4264
Practice Address - Country:US
Practice Address - Phone:503-309-8724
Practice Address - Fax:502-206-5512
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR086003257RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health