IndividualActive
Jesus Conrique Garcia
NPI 1023836772 · Nurse's Aide · Portland, OR
Provider details
- NPI number
- 1023836772
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 202003860CNA (OR)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
4805 Ne Glisan St
Portland, OR 97213-2933
Phone: (503) 215-1111
Approximate (ZIP-level) locationGet directions
Mailing address
907 Se 147th Ave
Vancouver, WA 98683-8390
Registry dates
- Enumerated
- 2024-10-01
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.