IndividualActive
Alexander Bautista
NPI 1346073863 · Registered Nurse · Gresham, OR
Provider details
- NPI number
- 1346073863
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 200640866RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
4101 Ne Division St
Gresham, OR 97030-4617
Phone: (503) 666-6575
Approximate (ZIP-level) locationGet directions
Mailing address
4101 Ne Division St
Gresham, OR 97030-4617
Registry dates
- Enumerated
- 2024-08-21
- Last updated
- 2024-08-21
- Certified
- 2024-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.