Provider Demographics
NPI:1457325375
Name:NEAL, JONATHAN JOSEPH (CPA)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:JOSEPH
Last Name:NEAL
Suffix:
Gender:
Credentials:CPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4509 S 6TH ST STE 301
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-4883
Mailing Address - Country:US
Mailing Address - Phone:541-238-6432
Mailing Address - Fax:541-230-7130
Practice Address - Street 1:4509 S 6TH ST STE 301
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-4883
Practice Address - Country:US
Practice Address - Phone:541-238-6432
Practice Address - Fax:541-230-7130
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA01080363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR170061Medicaid
Q60367Medicare UPIN
OR133655Medicare ID - Type Unspecified