Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NOLAN BASTENDORFF, PA
ActiveNOLAN BASTENDORFF, PA is a Physician Assistant healthcare provider located in GRANTS PASS, Oregon. NPI 1104505031 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRANTS PASS, OR
Registration Details
- NPI Number
- 1104505031
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2023 (2.9315563626937 yrs)
- Last Updated
- Dec 29, 2023
Practice Information
- Address
-
537 UNION AVE FL 2GRANTS PASS, OR, 975275543Browse OR providers · Browse ZIP 97527
- Phone
- 5415072110
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRANTS PASS, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. KIMBERLY L WALLER | PA-C | 1093782914 |
| HENRY N READ | PA | 1225099815 |
| APRIL A THEISEN | PA-C | 1366469074 |
| MS. NANCY JEANNE CLARK | PAC | 1891714960 |
| JOAN P DUNCAN | PA-C | 1407947732 |
| MR. JONATHAN EDWARD NORDHEIM | PAC | 1386762912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.