Individual
SUSAN MARY JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2511 M AVE, SUITE B, ANACORTES, WA 98221-3897
(360) 299-4211
(360) 299-4213
Mailing address
1211 24TH ST, ANACORTES, WA 98221-2562
(360) 293-3101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005226
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490970
—
AZ
Enumeration date
11/08/2006
Last updated
04/18/2019
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