Ellen Priscilla Bautista, MD

FAMILY PRACTICE

417 Sw 117th Ave

Portland, OR 972255924

**NPI:** 1174744395

**Med School:** OTHER

**Experience:** 22 years

**Telehealth:** Yes

**Medicare Assignment:** Yes

Practice Locations (2)

PROVIDENCE HEALTH AND SERVICES OREGON

417 Sw 117th Ave
Portland, OR 972255924

Phone:

**Group ID:** 0648183608 | **Group Size:** 1338 members

PROVIDENCE HEALTH AND SERVICES OREGON

9205 Sw Barnes Rd
Portland, OR 972256603

Phone:

**Group ID:** 0648183608 | **Group Size:** 1338 members

PROVIDENCE ST VINCENT MEDICAL CENTER Type: Hospital
9205 SW BARNES ROAD
Phone: (503) 216-1234
Medicare CCN: 380004 View Profile

PROVIDENCE PORTLAND MEDICAL CENTER Type: Hospital
4805 NE GLISAN STREET
Phone: (503) 215-1111
Medicare CCN: 380061 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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