Jorge Bautista

NPI #1003489238 in Keizer, Oregon

Provider Information

NPI Number
1003489238
Entity Type
Individual
Name
Jorge Bautista
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jul 24, 2021
Last Updated
Aug 2, 2021

Practice Location

Address
132 GLYNBROOK ST N
City
Keizer
State
Oregon
ZIP Code
97303-5796
Phone
(971) 227-9808

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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