Active NPIIndividual provider

Jordan J Allensworth

Otolaryngology in Vancouver, Washington

NPI Number1912347675
Practice location
417 SE 164TH Ave Ste 300, Vancouver, WA 98684-8944
Fax
360-256-2474
Last updated
July 16, 2021

Jordan J Allensworth is a Otolaryngology based in Vancouver, WA. The NPI number for Jordan J Allensworth is 1912347675 and holds license No. MD61144936 (WA). The current practice location address is 417 SE 164TH Ave Ste 300, Vancouver, WA 98684-8944 and the office can be reached by phone at 360-256-4425 and by fax at 360-256-2474. The NPI was assigned on June 26, 2013 and the record was last updated in NPPES on July 16, 2021.

●Provider Profile Details

NPI Number
1912347675
Provider Name
Jordan James Allensworth
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
No
Enumeration Date
June 26, 2013
Last Update Date
July 16, 2021
Certification Date
July 16, 2021
NPI Status
Active

◉Business Practice Location Address

Address
417 SE 164TH Ave Ste 300
Vancouver, WA 98684-8944
ZIP
98684-8944
Country
US
Phone Number
360-256-4425
Fax Number
360-256-2474

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✉Business Mailing Address

Address
3181 SW Sam Jackson Park RD
OHSU
Portland, OR 97239-3011
City
Portland
State
OR
ZIP
97239-3011
Phone Number
503-494-8220

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Student in an Organized Health Care Education/Training Program390200000XNo——
Otolaryngology207Y00000XYesMD61144936WA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jordan J Allensworth?

The NPI number of Jordan J Allensworth is 1912347675. It was assigned on June 26, 2013 and is currently active in the NPPES registry.

What is the specialty of Jordan J Allensworth?

Jordan J Allensworth is registered under the primary taxonomy Otolaryngology (code 207Y00000X) and holds license No. MD61144936 (WA).

Where does Jordan J Allensworth practice?

The practice location is 417 SE 164TH Ave Ste 300, Vancouver, WA 98684-8944. The office can be reached at 360-256-4425 (phone) or 360-256-2474 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912347675 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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