Mata, Jesse Enrique

Mata, Jesse Enrique is an individual health care provider with primary practice located at 7585 Nw Mountain View Dr , Corvallis OR 97330-9751. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Mata, Jesse Enrique can be contacted via phone (541) 231-1872.

Contact Information

Primary practice address
7585 Nw Mountain View Dr Corvallis OR 97330-9751
Phone: (541) 231-1872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1699218529
LBN Legal business name Mata, Jesse Enrique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2016
Last updated Nov 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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