Individual
JONATHAN NEHEMIAH OSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
948 NE 102ND AVE STE 101, PORTLAND, OR 97220-4064
(503) 257-0381
Mailing address
948 NE 102ND AVE STE 101, PORTLAND, OR 97220-4064
(503) 257-0381
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
7995095
OR
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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