Individual
JONATHAN ZONANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-4448
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-4448
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD11601
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246215
—
OR
Enumeration date
08/01/2006
Last updated
08/07/2007
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