Most Relevant Information
Provider Data
| NPI Number: | 1003560459 |
| Provider Name: | JONATHAN NOLAN HALE ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP61271241 |
Most Important Dates
| Enumeration Date: | 02/04/2022 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
1705 SE MEADOWBROOK BLVD STE 2
COLLEGE PLACE
WA
993241756
Practice Location Phone/Fax
| Phone: | 8882273312 |
| Fax: | 5095292858 |
Provider Mailing Location
PO BOX 2928
PORTLAND
OR
972082928
Provider Mailing Phone/Fax
| Phone: | 4252075155 |
| Fax: |