Provider Demographics
NPI:1881739100
Name:DUNN, JASON MICHAEL (RN)
Entity type:Individual
Prefix:MR
First Name:JASON
Middle Name:MICHAEL
Last Name:DUNN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:318 NE ROBERTS AVE
Mailing Address - Street 2:#304
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-7477
Mailing Address - Country:US
Mailing Address - Phone:503-465-8451
Mailing Address - Fax:503-465-8451
Practice Address - Street 1:2507 CHRISTIE DRIVE
Practice Address - Street 2:
Practice Address - City:MARYLHURST
Practice Address - State:OR
Practice Address - Zip Code:97036
Practice Address - Country:US
Practice Address - Phone:503-635-3416
Practice Address - Fax:503-636-5310
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WP0200X, 163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0200XNursing Service ProvidersRegistered NursePediatrics
Not Answered163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent