Individual
MS. LILLIE MAE JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
58401 LINDSAY LN, WARREN, OR 97053-9303
(971) 346-6314
Mailing address
7133 N LOMBARD ST, PORTLAND, OR 97203-3205
(971) 506-4697
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
092000RN4RN
OR
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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