Individual provider · Type 1 NPI
Jordan Justin Tjeerd Mulder, DO
Otolaryngology/Facial Plastic Surgery Physician · Olympia, WA
NPI number
1902054760
Active
Practice location
3920 Capital Mall Dr SW Ste 100A
Olympia, WA 98502-8701
Fax (360) 704-4746
Mailing address
404B Black Hills Lane SW, Capital Ent
Olympia, WA 98502-8654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | OP60262509 (WA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
2 other providers at this address
About NPI 1902054760
Jordan Justin Tjeerd Mulder, DO's National Provider Identifier is 1902054760, issued on Sep 5, 2008. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Olympia, WA. The record was last updated on Dec 16, 2019.