Jesse Enrique Mata
Other Technician · Corvallis, OR
NPI number
1699218529
Practice location
7585 NW Mountain View DrCorvallis, OR 97330-9751
- Phone
- (541) 231-1872
NPI record
- NPI
- 1699218529
- Entity type
- Individual (Type 1)
- Enumeration date
- November 25, 2016
- Last updated
- November 25, 2016
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Other Technician Primary | 247200000X |
— | — |
About Jesse Mata
Jesse Enrique Mata is a healthcare provider registered in the NPI registry with the primary taxonomy Other Technician (code 247200000X). The practice location is 7585 NW Mountain View Dr, Corvallis, OR 97330-9751. The NPI number 1699218529 was assigned on November 25, 2016 and the record was last updated on November 25, 2016.
Frequently asked questions
What is the NPI number of Jesse Enrique Mata?
The NPI number is 1699218529.
What is the phone number of Jesse Mata?
The phone number listed for the practice location is (541) 231-1872.
Where is Jesse Mata located?
7585 NW Mountain View Dr, Corvallis, OR 97330-9751.
What is the taxonomy code for Jesse Mata?
The primary taxonomy code is 247200000X – Other Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Megan Gerding, ADVANCED ESTHETICIAN996 NW Circle Blvd Suite 103
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