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General NPI Number Information
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NPI Number | 1770416968
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Entity Type | Individual
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Provider Name | MILA NICHOLE KRALJEV RN
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 11703 NE GLENN WIDING DR
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City | PORTLAND
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State | OR
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Zip | 97220-9051
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Country | US
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Telephone | 503-280-8132
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Fax |
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Provider Business Mailing Address
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Address Line | 11329 SE QUAIL RUN DR
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-6982
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Country | US
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Telephone | 971-470-6772
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10061635
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License Number State | OR
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