Individual
JONATHAN JOSEPH VALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 SW 6TH AVE, STE 602, PORTLAND, OR 97204-1533
(503) 223-5537
(503) 223-5584
Mailing address
506 SW 6TH AVE, STE 602, PORTLAND, OR 97204-1533
(503) 223-5537
(503) 223-5584
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD22556
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
10/16/2006
Last updated
07/09/2007
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