Tardiff, Jonathan Richard
Tardiff, Jonathan Richard is an individual health care provider with primary practice located at 2935 Sw Cedar Hills Blvd , Beaverton OR 97005-1342. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tardiff, Jonathan Richard can be contacted via phone (503) 352-6000.Contact Information
Primary practice address
2935 Sw Cedar Hills Blvd
Beaverton OR 97005-1342
Phone: (503) 352-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1134420656 |
|---|---|
| LBN Legal business name | Tardiff, Jonathan Richard |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2010 |
| Last updated | Oct 14th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134420656 | NPPES |
| Oregon | MEDICAID | 500630150 |
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