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Carolrene Reychelle Jordan
Other Specialist/Technologist in Vancouver, Washington
NPI 1154921054

Carolrene Reychelle Jordan is a Other Specialist/Technologist based in Vancouver, WA. Carolrene Reychelle Jordan practices in Vancouver, WA. The NPI Number for Carolrene Reychelle Jordan is 1154921054 and holds a License No. 89329 (Washington).

The current practice location address for Carolrene Reychelle Jordan is 9015 E Mill Plain Blvd, Vancouver, WA and can be reached out via phone at 360-773-5110. You can also correspond with Carolrene Reychelle Jordan through the mailing address at 9015 E MILL PLAIN BLVD, VANCOUVER, WA - 98664-2536 (mailing address contact number: 360-773-5110).

Location: 9015 E Mill Plain Blvd, Vancouver, WA, 98664-2536
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154921054
Provider Name
Carolrene Reychelle Jordan
Credential
Provider Entity Type
Individual
Gender
Female
Address
9015 E Mill Plain Blvd, Vancouver, WA, 98664-2536
Phone Number
360-773-5110
Fax Number
Provider Enumeration Date
10/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9015 E Mill Plain Blvd
City
Vancouver
State
Washington
Zip
98664-2536
Phone Number
360-773-5110
Fax Number
person
Provider Business Mailing Address Details
Address
9015 E Mill Plain Blvd
City
Vancouver
State
Washington
Zip
98664-2536
Phone Number
360-773-5110
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
89329 (Washington)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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