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Ellen Priscilla Saqueton Bautista, MD
Family Medicine Physician in Newberg, Oregon
NPI 1174744395

Ellen Priscilla Saqueton Bautista is a Family Medicine Physician based in Portland, OR. Ellen Priscilla Saqueton Bautista practices in Newberg, OR and has the professional credentials of MD. The NPI Number for Ellen Priscilla Saqueton Bautista is 1174744395 and holds a License No. 125052040 (Oregon).

The current practice location address for Ellen Priscilla Saqueton Bautista is 1003 Providence Dr, Newberg, OR and can be reached out via phone at 503-537-5900. You can also correspond with Ellen Priscilla Saqueton Bautista through the mailing address at PO BOX 3158, PORTLAND, OR - 97208-3158 (mailing address contact number: 503-215-6494).

Location: 1003 Providence Dr, Newberg, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174744395
Provider Name
Ellen Priscilla Saqueton Bautista
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1003 Providence Dr, Newberg, OR, 97208-3158
Phone Number
503-537-5900
Fax Number
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500614683 05 OR
P01034673 01 OR RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1003 Providence Dr
City
Newberg
State
Oregon
Zip
97132-7521
Phone Number
503-537-5900
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 3158
City
Portland
State
Oregon
Zip
97208-3158
Phone Number
503-215-6494
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD126320 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125052040 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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