Individual
JORDAN BRETT PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 N DIVISION ST STE 130, SPOKANE, WA 99207-2280
(509) 242-3405
Mailing address
2001 N DIVISION ST STE 130, SPOKANE, WA 99207-2280
(509) 242-3405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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