ELLEN PRISCILLA BAUTISTA, MD
Family Medicine
Active
Individual
NPI: 1174744395
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | 125052040 (IL) |
| Family Medicine | 207Q00000X | Yes | MD126320 (OR) |
Frequently Asked Questions
NPI 1174744395 is the National Provider Identifier for ELLEN PRISCILLA BAUTISTA, MD, a Family Medicine provider located in Newberg, OR. This NPI was enumerated on May 2, 2007.
ELLEN PRISCILLA BAUTISTA, MD practices at 1003 PROVIDENCE DR, SUITE 210, Newberg, OR 97132.
Quick Facts
- NPI
- 1174744395
- Type
- Individual
- Enumerated
- May 2, 2007
- Last Updated
- Oct 13, 2020
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