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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JONATHAN EDWARD NORDHEIM, PAC

Active

MR. JONATHAN EDWARD NORDHEIM, PAC is a Physician Assistant healthcare provider located in GRANTS PASS, Oregon. NPI 1386762912 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRANTS PASS, OR

Registration Details

NPI Number
1386762912
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2007 (19.349850844493 yrs)
Last Updated
Mar 28, 2018
Licenses
179767 (OR)
0075241 (NY)

Practice Information

Address
625 SW RAMSEY AVE
GRANTS PASS, OR, 975275808
Browse OR providers · Browse ZIP 97527
Phone
5415072290
Fax
5415072291
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GRANTS PASS, OR

Name Credential NPI
MRS. KIMBERLY L WALLER PA-C 1093782914
HENRY N READ PA 1225099815
APRIL A THEISEN PA-C 1366469074
MS. NANCY JEANNE CLARK PAC 1891714960
JOAN P DUNCAN PA-C 1407947732
RAGNA C. ROSTAD-RUFFNER P.A. 1124214382
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.