MR. Jonathan Edward Nordheim, PAC

NPI #1386762912 in Grants Pass, Oregon

Provider Information

NPI Number: 1386762912
Entity Type: Individual
Name: MR. Jonathan Edward Nordheim, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Mar 26, 2007
Last Updated: Mar 28, 2018

Practice Location

Address: 625 SW RAMSEY AVE
City: Grants Pass
State: Oregon
ZIP Code: 97527-5808
Phone: (541) 507-2290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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