Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON SOUTHMAYD, R.N.
ActiveChild & Adolescent Psychiatric Nurse · MILWAUKIE, OR
Registration Details
- NPI Number
- 1730532649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2016 (9.8056896071953 yrs)
- Last Updated
- Jul 14, 2016
- Licenses
-
201504773RN (OR)201504773RN (OR)
Practice Information
- Address
-
4105 SE INTERNATIONAL WAY STE 501MILWAUKIE, OR, 972228855Browse OR providers · Browse ZIP 97222
- Phone
- 5034963201
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
Other Child & Adolescent Psychiatric Nurse Providers in MILWAUKIE, OR
| Name | Credential | NPI |
|---|---|---|
| MEGAN DANIELLE ARCHULETA | — | 1780225706 |
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.