Provider Demographics
NPI:1437922770
Name:LEON MONSALVE, JESUS ARNEY (EMT-I)
Entity Type:Individual
Prefix:
First Name:JESUS
Middle Name:ARNEY
Last Name:LEON MONSALVE
Suffix:
Gender:M
Credentials:EMT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 GARDEN AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403-1986
Mailing Address - Country:US
Mailing Address - Phone:541-337-7051
Mailing Address - Fax:
Practice Address - Street 1:1923 GARDEN AVE APT 4
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97403-1986
Practice Address - Country:US
Practice Address - Phone:541-337-7051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR144041146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate