Provider Demographics
NPI:1457847881
Name:ESCOBAR, JOSE JAVIER (MEDICAL INTERPRETER)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:JAVIER
Last Name:ESCOBAR
Suffix:
Gender:M
Credentials:MEDICAL INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5167 RIVER RD N
Mailing Address - Street 2:
Mailing Address - City:KEIZER
Mailing Address - State:OR
Mailing Address - Zip Code:97303-5349
Mailing Address - Country:US
Mailing Address - Phone:503-967-7874
Mailing Address - Fax:503-967-7871
Practice Address - Street 1:5167 RIVER RD N
Practice Address - Street 2:
Practice Address - City:KEIZER
Practice Address - State:OR
Practice Address - Zip Code:97303-5349
Practice Address - Country:US
Practice Address - Phone:503-967-7874
Practice Address - Fax:503-967-7871
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter