MEDICARE: MR. JASON MICHAEL DUNN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP2201X	Ambulatory Care Registered Nurse	200341634RN	OR

General Provider Information

NPI Number	:	1881739100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JASON MICHAEL DUNN RN

Provider Business Mailing Address
First Line	:	21590 NE LAUREL WOOD LN
Second Line	:
City	:	FAIRVIEW
State	:	OR
Zip	:	97024-6796
Country	:	US
Telephone Number	:	503-320-9516
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 NW 18TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-2516
Country	:	US
Telephone Number	:	503-542-4888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	12/13/2025

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