Individual
MR. JORDAN D SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
333 SW 5TH ST STE B, GRANTS PASS, OR 97526-2509
(541) 471-0397
(541) 471-6459
Mailing address
333 SW. 5TH ST. SUITE B, AXIS HEALTH INC, GRANTS PASS, OR 97526
(541) 471-0397
(541) 471-6459
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5867
OR
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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