Individual provider · Type 1 NPI

Jesse Enrique Mata

Other Technician · Corvallis, OR

NPI number 1699218529 Active

Practice location

7585 NW Mountain View Dr
Corvallis, OR 97330-9751

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1699218529

Jesse Enrique Mata's National Provider Identifier is 1699218529, issued on Nov 25, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Corvallis, OR. The record was last updated on Nov 25, 2016.