JASON SOUTHMAYD R.N. NPI 1730532649

NPI Information

NPI: 1730532649
Provider Name: JASON SOUTHMAYD, R.N.
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR
ZIP 97222
Phone: (503) 496-3201
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Jason Southmayd, R.N. is a psychiatric/mental health registered nurse in Milwaukie, OR. Jason Southmayd, R.N. NPI is 1730532649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR
ZIP 97222-855
Phone: (503) 496-3201

The enumeration date for this NPI number is 7/14/2016 and was last updated on 7/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		201504773RN	OREGON	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	201504773RN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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