-- JONATHAN BALE --
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1952765349- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3600 NW SAMARITAN DR, CORVALLIS, OR, 973305472
- Phone
- (541) 768-4906
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Psychiatry & Neurology, Psychiatry
Primary License: OR #PG183616
All Addresses
MAILING
905 APACHE DR
MOUNT VERNON, WA, 982735724