Individual
JORDAN DOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC, DC
Contact information
Practice address
629 NW YORK DR, SUITE 104, BEND, OR 97701
(541) 388-2429
(541) 388-2439
Mailing address
629 NW YORK DR, SUITE 104, BEND, OR 97701
(541) 388-2429
(541) 388-2439
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5104
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5104
OREGON STATE LICENSE NUMBER
OR
Enumeration date
01/03/2013
Last updated
01/03/2013
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