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Adrian Bautista
Peer Specialist in Estacada, Oregon
NPI 1518734854

Adrian Bautista is a Peer Specialist based in Milwaukie, OR. Adrian Bautista practices in Estacada, OR. The NPI Number for Adrian Bautista is 1518734854 and holds a License No. (Oregon).

The current practice location address for Adrian Bautista is 380 Nw 6Th Ave, Estacada, OR and can be reached out via phone at 503-395-0435 and via fax at 971-236-8080.

Location: 380 Nw 6Th Ave, Estacada, OR, 97267-6723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518734854
Provider Name
Adrian Bautista
Credential
Provider Entity Type
Individual
Gender
Male
Address
380 Nw 6Th Ave, Estacada, OR, 97267-6723
Phone Number
503-395-0435
Fax Number
971-236-8080
Provider Enumeration Date
12/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
380 Nw 6Th Ave
City
Estacada
State
Oregon
Zip
97023-7713
Phone Number
503-395-0435
Fax Number
971-236-8080
person
Provider Business Mailing Address Details
Address
380 Nw 6Th Ave
City
Estacada
State
Oregon
Zip
97023-7713
Phone Number
503-395-0435
Fax Number
971-236-8080
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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