Jordan Tristian Bautista
Jordan Tristian Bautista is a Counselor in Corvallis, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4455 NE Highway 20Corvallis, OR 97330-9695
Phone: (541) 758-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1710623194 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 9, 2022 |
| Last updated in NPPES | May 9, 2022 |
| Certification date | May 9, 2022 |
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