Individual
MR. JONATHAN HUBERT AEBISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
19220 MCLOUGHLIN BLVD, GLADSTONE, OR 97027-2642
(503) 655-2404
(503) 655-1581
Mailing address
2818 SW 1ST AVE, APARTMENT B, PORTLAND, OR 97201-4718
(503) 348-8379
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201505929NP-PP
OR
Other
Enumeration date
08/30/2015
Last updated
08/12/2019
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