Individual provider · Type 1 NPI
Carolrene Reychelle Jordan
Other Specialist/Technologist · Vancouver, WA
NPI number
1154921054
Active
Practice location
9015 E Mill Plain Blvd
Vancouver, WA 98664-2536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 89329 (WA) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Another provider at this address
Other other specialist/technologist providers in Vancouver
About NPI 1154921054
Carolrene Reychelle Jordan's National Provider Identifier is 1154921054, issued on Oct 29, 2020. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Vancouver, WA. The record was last updated on Oct 29, 2020.