Individual
MRS. MELINDA JEAN JORDAN-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA.C
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3753
(360) 750-5351
Mailing address
2613 H ST, VANCOUVER, WA 98663-3047
(360) 696-4061
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003581
WA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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