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JASON SOUTHMAYD R.N.
NPI 1730532649
Registered Nurse - Psychiatric/Mental Health in Milwaukie, OR

Active since July 14, 2016
4105 SE INTERNATIONAL WAY STE 501, MILWAUKIE, OR 97222(503) 496-3201 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Southmayd R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON SOUTHMAYD R.N. (NPI 1730532649) is an individual psychiatric/mental health provider in Milwaukie, Oregon, licensed in Oregon (201504773RN) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1730532649
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NameJASON SOUTHMAYDCredential: R.N.
Location Address4105 SE INTERNATIONAL WAY STE 501Milwaukie, OR 97222-8855
Mailing Address14600 Nw Cornell RdPortland, OR 97229-5442 · (503) 645-3581 · Fax (503) 690-9605
Phone(503) 496-3201
Sole ProprietorNo
Enumeration DateJuly 14, 2016
✔ NPI 1730532649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in OR · 201504773RN
Also ListedRegistered NurseTaxonomy 163W00000X · License 201504773RN (OR)
4105 SE INTERNATIONAL WAY STE 501, Milwaukie, OR 97222
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTINE STRACH ELSTAD CSWA
Social Worker
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR 97222
Clackamas County (503) 645-3581
MARIA BRILEY RN
Registered Nurse
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR 97222
Clackamas County (503) 496-3201
DAWNA BRACKEN
Peer Specialist
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR 97222
Clackamas County (503) 496-3201
BROOKE ALEXANDRA LEE
Case Manager/Care Coordinator
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR 97222
Clackamas County (503) 496-3201
MATTHEW BURNS MA, MSED
Counselor
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR 97222
Clackamas County (503) 496-3201
ANNE AGRIESTI
Case Manager/Care Coordinator
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR 97222
Clackamas County (503) 496-3201
CLIFF SMITHERS QMHA, CPSS
Peer Specialist
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR 97222
Clackamas County (503) 496-3201
MADISON MARIE COCK
Case Manager/Care Coordinator
4105 SE INTERNATIONAL WAY STE 501
MILWAUKIE, OR 97222
Clackamas County (503) 496-3201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Southmayd's NPI number?

The NPI number for Jason Southmayd is 1730532649. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Jason Southmayd located?

Jason Southmayd practices at 4105 SE International Way Ste 501, Milwaukie, OR 97222. The listed phone number is (503) 496-3201.

What is Jason Southmayd's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jason Southmayd was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.