Individual
JORDAN RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 PINE ST, KLAMATH FALLS, OR 97601-6020
(541) 851-8110
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61701
OR
261QF0400X
Federally Qualified Health Center (FQHC)
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Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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