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Jonathan Ryan Floriani

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

This provider is enrolled in PECOS as JONATHAN FLORIANI.

Based on the most recent information from CMS, provider Jonathan Ryan Floriani is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1043552540
Provider Type
Individual
Full Name
Floriani, Jonathan Ryan
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/22/2013
Last Updated
11/8/2018

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-6176

(503) 494-6152

Mailing Location

1225 NE 2nd Ave, Portland, OR 97232-2003

(503) 944-8000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD186923 Oregon
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 17006 Nevada

Jonathan Ryan Floriani

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kothari, Jay S

Cornejo, Brandon J

Buboltz, Melissa Beth

Knight-Richardson, Norwood Wilbert

Sarparast, Aryan

Yaeger, Deborah

Levitte, Susan Schutzman

Mack, Joel David

Fatima, Zainab

Blazes, Christopher Kynrint