Whalio Doctors

NPI 1003836487

Jonathan L Vinson, MD

Practitioner Family Medicine Physician Portland, OR

Practice location

Address
839 NE Holladay St, Portland, OR 97232-3521
Phone
(503) 203-0700
Mailing address
PO Box 3158, Portland, OR 97208-3158

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD22545 (OR)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD00044589 (WA)

Registry record

NPI
1003836487
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jul 2006
Record last updated
13 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.