Provider Demographics
NPI:1619463601
Name:BARAJAS OCHOA, JORGE ALDO (MD)
Entity type:Individual
Prefix:
First Name:JORGE ALDO
Middle Name:
Last Name:BARAJAS OCHOA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SW RAMSEY AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97527-5788
Mailing Address - Country:US
Mailing Address - Phone:541-789-4505
Mailing Address - Fax:541-789-4502
Practice Address - Street 1:700 SW RAMSEY AVE STE 101
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97527-5788
Practice Address - Country:US
Practice Address - Phone:541-789-4505
Practice Address - Fax:541-789-4502
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD218031207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine