Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Darya Balanetskaya, ACPCNP

Individual provider Nurse Practitioner · NPI 1457012791

Darya Balanetskaya, ACPCNP is a Nurse Practitioner in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.

Licensed in
OR
In the registry since
2022
Specialties on file
4

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-7772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 202206690NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 202206690NP-PP (OR)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 202206690NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201504283RN (OR)

Record details

NPI number1457012791
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACPCNP
Sole proprietorNo
NPI enumeratedJanuary 8, 2022
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

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