Individual
JORDAN MARIE RAYMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 9TH ST, FLORENCE, OR 97439-9470
(541) 997-2820
(541) 997-7197
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
128828
WI
208600000X
Surgery Physician
Primary
MD161898
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094441
—
WA
05
—
500659458
—
OR
Enumeration date
07/23/2008
Last updated
12/31/2018
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