JASON SOUTHMAYD

MILWAUKIE, OR
NPI1730532649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OR  201504773RN)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OR  201504773RN)
Enumeration Date2016-07-14
Last Update Date2016-07-14
Business Address
-- JASON SOUTHMAYD R.N.
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR 97222-8855
Phone number: 503-496-3201
Mailing Address
-- JASON SOUTHMAYD R.N.
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581