Nolan Bastendorff, PA

NPI #1104505031 in Grants Pass, Oregon

Provider Information

NPI Number: 1104505031
Entity Type: Individual
Name: Nolan Bastendorff, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 17, 2023
Last Updated: Dec 29, 2023

Practice Location

Address: 537 UNION AVE FL 2
City: Grants Pass
State: Oregon
ZIP Code: 97527-5543
Phone: (541) 507-2110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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