ALEXANDER BAUTISTA

GRESHAM, OR
NPI1346073863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  200640866RN)
Enumeration Date2024-08-21
Last Update Date2024-08-21
Business Address
ALEXANDER BAUTISTA
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 503-666-6575
Mailing Address
ALEXANDER BAUTISTA
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number:
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