Individual provider · Type 1 NPI

Jason Southmayd, R.N.

Psychiatric/Mental Health Registered Nurse · Milwaukie, OR

NPI number 1730532649 Active

Practice location

4105 SE International Way Ste 501
Milwaukie, OR 97222-8855

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201504773RN (OR)
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X201504773RN (OR)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1730532649

Jason Southmayd, R.N.'s National Provider Identifier is 1730532649, issued on Jul 14, 2016. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 14, 2016.