Individual
JORDAN NOMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E 33RD ST STE 100, VANCOUVER, WA 98663
(360) 514-7550
Mailing address
100 E 33RD ST STE 100, VANCOUVER, WA 98663-2776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO209299
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2017
Last updated
04/11/2022
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