Individual
JORDAN ORDILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
AP61104694
WA
363L00000X
Nurse Practitioner
9315958
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61104694
WA
367500000X
Certified Registered Nurse Anesthetist
ARNP9315958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021696300
—
FL
Enumeration date
06/20/2017
Last updated
11/01/2021
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