WILBUR DOMENDEN BAUTISTA


Address: 1901 S Union Ave Bldg B Ste 2011, Tacoma, WA 98405
Phone: 2532720324

WILBUR DOMENDEN BAUTISTA (NPI# 1205315983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205315983
Entity Type Individual
Full Name WILBUR DOMENDEN BAUTISTA
Practice Address 1901 S Union Ave Bldg B Ste 2011
Tacoma
WA 98405
Mailing Address 4253 E Roosevelt Ave
Tacoma
WA 98404-4659
Practice Telephone 2532720324
Practice Fax Number 2532720490
Mailing Telephone 8083877618
Enumeration Date 2018-08-13
Last Update Date 2018-08-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246QM0706X Spec/Tech, Pathology
Specialization: Medical Technologist
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1901 S UNION AVE BLDG B STE 2011
City TACOMA
State WA
Zip Code 98405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720564925 Acts Pharmacy and Healthcare Services, LLC Pharmacy 1901 S Union Ave Bldg B Ste 2011, Tacoma, WA 98405 2018-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
Find all providers in zip 98405

Taxonomy Information

Taxonomy Code 246QM0706X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Spec/Tech, Pathology
Specialization Medical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851911275 Evangeline Abelgas Spec/Tech, Pathology 6826 20th St E Unit 1, Fife, WA 98424-3516 2020-04-27
1316233992 Scott Robert Gordon Spec/Tech, Pathology 330 Merlot Dr # 41, Prosser, WA 99350-9551 2011-06-22
1538346648 Nancy Christine Hall Spec/Tech, Pathology 29 Nespelem/san Poil Street, Nespelem, WA 99155-0071 2008-01-31
1811179864 Richard Edward Vroman Spec/Tech, Pathology 101 N 54th Ave, Yakima, WA 98908-3147 2007-12-01
1225183304 Nathan O. Town Spec/Tech, Pathology 401 Buster Rd., Toppenish, WA 98948 2007-01-25
1174607931 Sandra Lee Nomee Spec/Tech, Pathology 29 9th Sanpoil Street, Colville Confederated Tribes Indian Health Services, Nespelem, WA 99155 2006-10-25
1073805164 Kathryn Elkins Spec/Tech, Pathology 401 Buster Rd, Toppenish, WA 98948-9792 2011-05-06
1831421460 Chester Alan Lubrin Flores Spec/Tech, Pathology 921 Terry Ave, Seattle, WA 98104-1239 2010-02-08
1326122540 James R Moore Spec/Tech, Pathology 29 Nespelem/sanpoil St, Nespelem, WA 99155-0071 2006-10-24

Competitor

Search similar providers

City TACOMA
Zip Code 98405

Improve Information

Please comment or provide details below to improve the information on WILBUR DOMENDEN BAUTISTA.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches