Jonathan L Vinson
Family Doctor
839 Ne Holladay St
Portland
, Oregon 97232-3521
Jonathan L Vinson
Family Doctor
839 Ne Holladay St
Portland
, Oregon 97232-3521
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Jonathan L Vinson
- Po Box 3158
- Portland, OR
- Zip : 97208-3158
- Phone :
Second Address
- Jonathan L Vinson
- 839 Ne Holladay St
- Portland, OR
- Zip : 97232-3521
- Phone : (503) 203-0700
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FAQs
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In what state does Jonathan L Vinson practice in?
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Is Jonathan L Vinson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD00044589 | WA |
| Y | 207Q00000X | Family Doctor | MD22545 | OR |
National Provider Identifier
| NPI | 1003836487 |
|---|---|
| Provider Name | Jonathan L Vinson |
| First Address | Portland, OR 97208-3158 |
| Second Address | Portland, OR 97232-3521 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 13/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 287818 | (05) | OR |
| H35460 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.