Individual
JORDAN TAYLOR BOSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
501 SE 172ND AVE STE 110, VANCOUVER, WA 98684-9542
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1262522
TX
225100000X
Physical Therapist
PT61190627
WA
2251X0800X
Orthopedic Physical Therapist
Primary
PT61170245
WA
Other
Enumeration date
08/24/2015
Last updated
05/21/2024
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