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Search › Washington › Other Specialist/Technologist

Carolrene Jordan

NPI 1154921054 · on the registry since 2020

Practice

Address
9015 E Mill Plain Blvd
Vancouver, WA 98664
Phone
(360) 773-5110
Organisation at this address
Peach Willow Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Other Specialist/Technologist
246Z00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington