NPI 1023836772

Jesus Ernesto Conrique Garcia

Practitioner Nurse's Aide Portland, OR

Practice location

Address: 4805 NE Glisan St, Portland, OR 97213-2933
Phone: (503) 215-1111
Mailing address: 907 SE 147th Ave, Vancouver, WA 98683-8390

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 202003860CNA (OR)

Other Nurse's Aide providers in Oregon →

Registry record

NPI: 1023836772
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2024
Record last updated: 1 Oct 2024

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.