Individual
JORDAN P LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61579307
WA
363AM0700X
Medical Physician Assistant
Primary
PA61579307
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2299914
—
WA
Enumeration date
01/25/2024
Last updated
11/08/2024
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