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Search › Oregon › 101YM0800X

Jordan Blacktop, PHD

NPI 1225759566 · on the registry since 2022

Practice

Address
281 Laclair St
Coos Bay, OR 97420
Phone
(541) 266-6700
Organisation at this address
Coos County Oregon
Coos County Oregon
Coos County Oregon
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
171M00000X
Sex
Male
Record last updated
2022-09-06

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 Oregon