Individual provider · Type 1 NPI
Jonathan Rosen Soffer, NP
Adult Health Nurse Practitioner · Portland, OR
NPI number
1316222136
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 418-5505
Other practice locations
- 1825 E 19th St, The Dalles, OR 97058-3365 · (541) 506-6940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 201150147NP (OR) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1316222136
Jonathan Rosen Soffer, NP's National Provider Identifier is 1316222136, issued on Oct 12, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on May 24, 2021.