Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Southmayd, RN

Individual provider Registered Nurse · NPI 1730532649

Jason Southmayd, RN is a Registered Nurse in Milwaukie, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

4105 SE International Way Ste 501
Milwaukie, OR 97222-8855
Phone: (503) 496-3201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 201504773RN (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201504773RN (OR)

Record details

NPI number1730532649
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2016
Mailing address14600 Nw Cornell Rd, Portland, OR 97229-5442

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