Individual
JONATHAN DAVID MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1414 NW NORTHRUP ST STE 8000, PORTLAND, OR 97209-2790
(503) 414-5550
Mailing address
1414 NW NORTHRUP ST, PORTLAND, OR 97209-2790
(505) 414-5550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
67049
OK
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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