Tinah Adele Bazin-Quintana, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200750151NP Issued in OR

Practice address

7754 SW Capitol Hwy
Portland, OR 97219-2592

Phone

(503) 977-0733

NPI assigned

Dec 18, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Community Health Center

  • Voluntary or Charitable Agency
  • Portland, OR
  • NPI 1821480989
  NPD (past)
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Salem, NY
  • NPI 1982417119
  NPD (past)
• Northern Adirondack Planned Parenthood Inc

  • Ambulatory Family Planning Facility
  • Plattsburgh, NY
  • NPI 1417945692
  NPD (past)
• Planned Parenthood of the North Country New York, Inc.

  • Ambulatory Family Planning Facility
  • Watertown, NY
  • NPI 1407907215
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265595979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7754 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192592",
            "telephone_number": "503-977-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7754 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192592",
            "telephone_number": "503-977-0733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 NW 229th Ave",
            "address_2": "Intel Health for Life Center - Ronler 3",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971245506",
            "country_code": "US",
            "telephone_number": "971-214-8422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 W Main St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971233961",
            "country_code": "US",
            "telephone_number": "503-846-4418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZIN-QUINTANA",
        "first_name": "TINAH",
        "middle_name": "ADELE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200750151NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERT NUMBER",
            "identifier": "0374215-22",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON NP LICENSE",
            "identifier": "200750151NP",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan C Baysinger, PT, DPT, CFMT
• Ahren Bayuk, PHARMD, RPH
• Tracy Bazan, MD
• Myra Bazell, LCSW
• Emmar Bazile, BCBA
• Alissa Dyan Bazinet, PHD
• Claire Elizabeth Bazley
• Lyubov Bazyuk
• Marina Vladimirovna Bazyuk, ND
• BC Collective of Or LLC

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.