IndividualActive
Eva Cicilian, ADVANCE PRACTICE RN
NPI 1801449301 · Psychiatric/Mental Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1801449301
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ADVANCE PRACTICE RN
- Sex
- Female
- Sole proprietor
- No
- License
- 201142770RN (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
1410 Ne 106th Ave
Portland, OR 97220-3934
Phone: (503) 460-0405
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Additional practice locations (1)
- 847 Ne 19th Ave Ste 100Portland, OR 97232-2684Phone: (503) 238-0769
Registry dates
- Enumerated
- 2019-07-23
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.