Individual
KELSIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10215 SW PARK WAY STE D, PORTLAND, OR 97225-5036
(503) 292-3583
(503) 292-1022
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(503) 443-6156
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63428
OR
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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