Hall, Jonathan M
Hall, Jonathan M is an individual health care provider with primary practice located at 19029 S. Beavercreek Rd , Oregon City OR 97045. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hall, Jonathan M can be contacted via phone (503) 941-3064.Contact Information
Primary practice address
19029 S. Beavercreek Rd
Oregon City OR 97045
Phone: (503) 941-3064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D9862 | Oregon |
Profile Details
| NPI number | 1316292600 |
|---|---|
| LBN Legal business name | Hall, Jonathan M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2012 |
| Last updated | Apr 20th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316292600 | NPPES |
| Oregon | MEDICAID | 500657902 |
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