Mr. Jesse Enrique Mata
Mr. Jesse Enrique Mata is an Other Technician in Corvallis, Oregon. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
7585 NW Mountain View DrCorvallis, OR 97330-9751
Phone: (541) 231-1872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1699218529 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 25, 2016 |
| Last updated in NPPES | November 25, 2016 |
| Mailing address | 7585 Nw Mountain View Dr, Corvallis, OR 97330-9751 |
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