Active NPI
Natasha Milenkaya Unruh, ELECTROLOGIST
- Specialist
- Gresham, OR
National Provider Identifier
1902511512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- BAP-E-10211910
- Practice address
- 915 NE 2ND St RM 6
Gresham, OR 97030-7512 - Phone
- (650) 814-0154
- NPI assigned
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | BAP-E-10211910 | OR | Primary |
Addresses
Primary practice location
915 NE 2ND St RM 6
Gresham, OR 97030-7512
Mailing address
481 NE Liberty Ave
Gresham, OR 97030-7947
Phone (650) 814-0154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BAP-E-10211910 | Other | OR | HEALTH LICENSING OFFICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BAP-E-10211910 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1902511512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 NE LIBERTY AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307947",
"telephone_number": "650-814-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 NE 2ND ST RM 6",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307512",
"telephone_number": "650-814-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNRUH",
"first_name": "NATASHA",
"middle_name": "MILENKAYA",
"credential": "ELECTROLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "BAP-E-10211910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LICENSING OFFICE",
"identifier": "BAP-E-10211910",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.