NPI 1124686167

Yesica Bustos-Moran

Practitioner Registered Record Administrator Medford, OR

Practice location

Address: 300 W Main St, Medford, OR 97501-2756
Phone: (541) 772-1777
Fax: (541) 734-2410

Registered specialties

Registered Record Administrator Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246YR1600X Licence THW000003305 (OR)

Other Specialist/Technologist, Health Information providers in Oregon →

Registry record

NPI: 1124686167
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2019
Record last updated: 4 Jun 2019

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.