NPI 1003489238
Jorge Bautista
Practice location
- Address
- 132 Glynbrook St N, Keizer, OR 97303-5796
- Phone
- (971) 227-9808
- Mailing address
- 312 Monmouth Independence Hwy, Monmouth, OR 97361-1730
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003489238
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jul 2021
- Record last updated
- 2 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.