Individual provider · Type 1 NPI

Jordan Edward Beckstead, OD

Student in an Organized Health Care Education/Training Program · Forest Grove, OR

NPI number 1487493623 Active

Practice location

2043 College Way
Forest Grove, OR 97116-1797

Mailing address

275 E Rose St
Lebanon, OR 97355-4233

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487493623

Jordan Edward Beckstead, OD's National Provider Identifier is 1487493623, issued on May 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forest Grove, OR. The record was last updated on May 20, 2024.