Jason Southmayd, RN - Registered Nurse in Milwaukie, OR

Jason Southmayd, RN is a Registered Nurse - Psychiatric/mental Health based in Milwaukie, Oregon. Jason Southmayd is licensed to practice in Oregon (license number 201504773RN) and his current practice location is 4105 Se International Way Ste 501, Milwaukie, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 496-3201.

NPI number for Jason Southmayd is 1730532649 and his current mailing address is 14600 Nw Cornell Rd, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730532649.

Contact Information

Jason Southmayd, RN
4105 Se International Way Ste 501,
Milwaukie, OR 97222-8855
(503) 496-3201
Not Available

Map and Direction




Provider's Profile

Full NameJason Southmayd
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location4105 Se International Way Ste 501, Milwaukie, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730532649
  • Provider Enumeration Date: 07/14/2016
  • Last Update Date: 07/14/2016

Medical Identifiers

Medical identifiers for Jason Southmayd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730532649NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201504773RN (Oregon)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 201504773RN (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Southmayd is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason Southmayd, RN
14600 Nw Cornell Rd,
Portland, OR 97229-5442

Ph: (503) 645-3581
Jason Southmayd, RN
4105 Se International Way Ste 501,
Milwaukie, OR 97222-8855

Ph: (503) 496-3201

Reviews and Comments


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