NPI 1699218529

Jesse Enrique Mata

Practitioner Other Technician Corvallis, OR

Practice location

Address: 7585 NW Mountain View Dr, Corvallis, OR 97330-9751
Phone: (541) 231-1872

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Oregon →

Registry record

NPI: 1699218529
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Nov 2016
Record last updated: 25 Nov 2016

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.