person
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.

Location: 9015 E Mill Plain Blvd, Vancouver, WA, 98664-2536
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
State
Zip
98664-2536
Phone Number
360-773-5110
Fax Number
person
Provider Business Mailing Address Details
Address
9015 E Mill Plain Blvd
City
State
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
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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