Provider Demographics
NPI:1184898389
Name:SHERBONDY, JASON LEE (ND)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:LEE
Last Name:SHERBONDY
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 NW 9TH AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209
Mailing Address - Country:US
Mailing Address - Phone:503-880-5755
Mailing Address - Fax:
Practice Address - Street 1:1255 NW 9TH AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2886
Practice Address - Country:US
Practice Address - Phone:503-880-5755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1865175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath