Bautista, Jessica Lilliana

Bautista, Jessica Lilliana is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 238 , Portland OR 97225. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Bautista, Jessica Lilliana can be contacted via phone (503) 215-9297.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 238 Portland OR 97225
Phone: (503) 215-9297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10020493 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 10020493 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 10020493 Oregon

Profile Details

NPI number 1184485492
LBN Legal business name Bautista, Jessica Lilliana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2024
Last updated Aug 20th, 2025 - about last year

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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