Individual
DR. JORDAN S THAANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
603 HUNT AVE STE A, SUMNER, WA 98390-1117
(253) 863-0855
(253) 826-0511
Mailing address
603 HUNT AVE STE A, SUMNER, WA 98390-1117
(253) 863-0855
(253) 826-0511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
60506347
WA
111N00000X
Chiropractor
Primary
CH60506347
WA
Other
Enumeration date
12/09/2014
Last updated
01/10/2020
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