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General NPI Number Information
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NPI Number | 1629620497
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Entity Type | Individual
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Provider Name | JONATHAN WAYNE MAY PMHNP
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Gender | Male
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Dates
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Enumeration Date | 07/11/2019
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 10260 SW GREENBURG RD FL 4
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City | PORTLAND
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State | OR
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Zip | 97223-5500
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Country | US
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Telephone | 503-461-8022
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Fax | 503-836-9436
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Provider Business Mailing Address
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Address Line | 11575 SW PACIFIC HWY # 3020
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City | TIGARD
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State | OR
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Zip | 97223-8671
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Country | US
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Telephone | 503-461-8022
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Fax | 503-836-9436
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202113375NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1629620497
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License Number State | CA
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