Most Relevant Information
Provider Data
NPI Number: | 1003557141 |
Provider Name: | JORDAN MARY SCHROEDER MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/05/2022 |
Last Updated: | 02/13/2024 |
Provider Practice Location
DEPT REHAB MEDICINE 1959 NE PACIFIC ST # 356490 BB-928
SEATTLE
WA
981952307
Practice Location Phone/Fax
Phone: | 2066850936 |
Fax: | 2066163908 |
Provider Mailing Location
1959 NE PACIFIC STREET BB-928 BOX 356490
SEATTLE
WA
981950001
Provider Mailing Phone/Fax
Phone: | 4252836345 |
Fax: |