NOLAN BASTENDORFF, PA

Physician Assistant

Active Individual
NPI: 1104505031

Practice Address

537 UNION AVE FL 2
Grants Pass, OR 97527

Phone: (541) 507-2110

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1104505031 is the National Provider Identifier for NOLAN BASTENDORFF, PA, a Physician Assistant provider located in Grants Pass, OR. This NPI was enumerated on July 17, 2023.
NOLAN BASTENDORFF, PA practices at 537 UNION AVE FL 2, Grants Pass, OR 97527.

Quick Facts

NPI
1104505031
Type
Individual
Enumerated
Jul 17, 2023
Last Updated
Dec 29, 2023

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