Carnell, Jonathan

Carnell, Jonathan is an sole proprietor health care provider with primary practice located at 5050 Ne Hoyt St Ste 625 , Portland OR 97213-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Carnell, Jonathan can be contacted via phone (503) 731-2900.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 625 Portland OR 97213-2991
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD.60550687 Washington

Profile Details

NPI number 1316262108
LBN Legal business name Carnell, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2010
Last updated Mar 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316262108 NPPES
Washington MEDICAID 1316262108

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