Southmayd, Jason

Southmayd, Jason is an individual health care provider with primary practice located at 4105 Se International Way Ste 501 , Milwaukie OR 97222-8855. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Southmayd, Jason can be contacted via phone (503) 496-3201.

Contact Information

Primary practice address
4105 Se International Way Ste 501 Milwaukie OR 97222-8855
Phone: (503) 496-3201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 201504773RN Oregon
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 201504773RN Oregon

Profile Details

NPI number 1730532649
LBN Legal business name Southmayd, Jason
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jul 14th, 2016 - about 10 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.

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