Individual
JORDAN NADINE DENNY AUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 SW 105TH AVE STE 206, BEAVERTON, OR 97008-5487
(503) 430-1777
(503) 372-5119
Mailing address
4710 SW 2ND AVE, PORTLAND, OR 97239-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA203267
OR
Other
Enumeration date
02/13/2018
Last updated
05/01/2025
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