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1144685140
JONATHAN DAVID MERRELL
PORTLAND, OR
NPI
1144685140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 67049)
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
-- JONATHAN DAVID MERRELL RN
1414 NW NORTHRUP ST STE 8000
PORTLAND, OR 97209-2790
Phone number: 503-414-5550
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Mailing Address
-- JONATHAN DAVID MERRELL RN
1414 NW NORTHRUP ST
PORTLAND, OR 97209-2790
Phone number: 505-414-5550
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