Most Relevant Information
Provider Data
| NPI Number: | 1003588047 |
| Provider Name: | ASHLEY R JORDAN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2021 |
| Last Updated: | 09/28/2021 |
Provider Practice Location
10180 SE SUNNYSIDE RD
CLACKAMAS
OR
970158970
Practice Location Phone/Fax
| Phone: | 5038132000 |
| Fax: |
Provider Mailing Location
10180 SE SUNNYSIDE RD
CLACKAMAS
OR
970158970
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |