JONATHAN MICHAEL GALLEGOS RN NPI 1316759400

NPI Information

  • NPI: 1316759400
  • Provider Name: JONATHAN MICHAEL GALLEGOS, RN
  • Classification: Registered Nurse - 163WP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • Address: 20370 POE SHOLES DR
    BEND, OR
    ZIP 97703
  • Phone: (541) 306-5180

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NPI Details

Jonathan Michael Gallegos, RN is a psychiatric/mental health and adult registered nurse in Bend, OR. Jonathan Michael Gallegos, RN NPI is 1316759400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20370 POE SHOLES DR
BEND, OR
ZIP 97703-938
Phone: (541) 306-5180

The enumeration date for this NPI number is 1/24/2025 and was last updated on 1/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult201800355OREGONNo
2163WP0809XRegistered NursePsychiatric/Mental Health, Adult201800355RNOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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