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Individual

JONATHAN NOLAN HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1705 SE MEADOWBROOK BLVD STE 2, COLLEGE PLACE, WA 99324-1756
(888) 227-3312
(509) 529-2858
Mailing address
PO BOX 2928, PORTLAND, OR 97208-2928
(425) 207-5155

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61271241
WA
363LF0000X
Family Nurse Practitioner
RN60098073
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP61271241
DOH LICENSE
WA
01
RN60098073
DOH LICENSE
WA
Enumeration date
02/04/2022
Last updated
09/27/2023
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