ADRIAN BAUTISTA - NPI 1518734854 - Peer Specialist in Estacada, OR

Q: What is Adrian Bautista's NPI number?

The NPI number for Adrian Bautista is 1518734854. It was assigned to this individual provider in the NPPES registry on December 6, 2023.

Q: What is Adrian Bautista's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Adrian Bautista was last updated on December 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Adrian Bautista NPPES

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

ADRIAN BAUTISTA (NPI 1518734854) is an individual peer specialist in Estacada, Oregon and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1518734854

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameADRIAN BAUTISTA

Location Address380 NW 6TH AVEEstacada, OR 97023-7713

Mailing Address18600 Se Mcloughlin BlvdMilwaukie, OR 97267-6723 · (971) 255-0658 · Fax (971) 255-0658

Phone(503) 395-0435

Fax(971) 236-8080

Sole ProprietorNo

Enumeration DateDecember 6, 2023

NPPES CertifiedDecember 6, 2023

✔ NPI 1518734854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

380 NW 6TH AVE, Estacada, OR 97023

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Other Providers at the Same Location NPPES 9

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

JUSTIN RYE

Counselor (Addiction (Substance Use Disorder))