Individual
BONNIE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4613
(253) 968-5132
(253) 968-5294
Mailing address
9040 JACKSON AVENUE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25016
NE
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
25016
NE
Other
Enumeration date
04/27/2008
Last updated
02/16/2022
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