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NPI 1336435536 · live from the CMS NPI Registry

Joanna Marie Bautista Aquino-Laban, M.D.

Internal Medicine in Springfield, OR. National Provider Identifier 1336435536, active.

NPI record

NPI1336435536 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location3377 Riverbend Dr, Springfield, OR 97477
Practice phone541-222-6389
EnumeratedJune 26, 2011
Last updatedAugust 11, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Hospitalist208M00000XMD166458 (OR)
Internal Medicine primary207R00000XMD166458 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.