JONATHAN MICHAEL GALLEGOS RN - NPI 1316759400 - Registered Nurse in Bend, OR

Q: What is Jonathan Gallegos's NPI number?

The NPI number for Jonathan Gallegos is 1316759400. It was assigned to this individual provider in the NPPES registry on January 24, 2025.

Q: What is Jonathan Gallegos's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Gallegos was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jonathan Michael Gallegos Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN MICHAEL GALLEGOS RN (NPI 1316759400) is an individual psychiatric/mental health, adult provider in Bend, Oregon, licensed in Oregon (201800355RN) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1316759400

Entity TypeIndividualMale

Primary Taxonomy163WP0809X

Provider Legal NameJONATHAN MICHAEL GALLEGOSCredential: RN

Location Address20370 POE SHOLES DRBend, OR 97703-7938

Mailing Address20370 Poe Sholes DrBend, OR 97703-7938 · (541) 306-5180

Phone(541) 306-5180

Sole ProprietorYes

Enumeration DateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1316759400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers

Taxonomy Code163WP0809X

Licenses✔ Licensed in OR · 201800355RN✔ Licensed in OR · 201800355

20370 POE SHOLES DR, Bend, OR 97703

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANONA KING

Counselor (Mental Health)