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Individual

ASHLEY R JORDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202206265NPPP
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/28/2021
Last updated
11/19/2025
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