Surratt, Jason Ray

Surratt, Jason Ray is an individual health care provider with primary practice located at 9900 Sw Hall Blvd Suite 100, Tigard OR 97223. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Surratt, Jason Ray can be contacted via phone (503) 245-2420.

Contact Information

Primary practice address
9900 Sw Hall Blvd Suite 100 Tigard OR 97223
Phone: (503) 245-2420
Fax: (503) 245-2445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00330 Oregon

Profile Details

NPI number 1649386541
LBN Legal business name Surratt, Jason Ray
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Sep 27th, 2011 - about 14 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 1649386541 NPPES
Oregon MEDICAID 228891

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