Individual
JORDAN DILLON MAGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
2185 SE 12TH PL, WARRENTON, OR 97146-9311
(503) 325-6812
Mailing address
2185 SE 12TH PL, WARRENTON, OR 97146-9311
(503) 325-6812
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1468920995
USCG
—
Enumeration date
11/15/2021
Last updated
11/15/2021
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