Individual
DR. WILLIAM JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., F.A.G.D.
Contact information
Practice address
18789 SW BOONES FERRY RD, STE 4, TUALATIN, OR 97062-8412
(503) 692-6535
(503) 691-2831
Mailing address
18789 SW BOONES FERRY RD, STE 4, TUALATIN, OR 97062-8412
(503) 692-6535
(503) 691-2831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6424
OR
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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