Individual
JONATHAN EDWARD SEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201804547RN
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/21/2019
Last updated
03/29/2019
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