Individual
JONAH SHORT-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(503) 814-1278
Mailing address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
01/19/2026
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