Provider Demographics
NPI:1780930099
Name:ZITTIN, NATASHA (RN, BSN)
Entity type:Individual
Prefix:MISS
First Name:NATASHA
Middle Name:
Last Name:ZITTIN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 NW 26TH AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2474
Mailing Address - Country:US
Mailing Address - Phone:503-560-0899
Mailing Address - Fax:
Practice Address - Street 1:1635 NW 26TH AVE APT 7
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2474
Practice Address - Country:US
Practice Address - Phone:503-560-0899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200942291RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse