Individual
JORDAN K ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9901 NE 7TH AVE # 116, VANCOUVER, WA 98685-4523
(360) 571-2432
Mailing address
11903 NE 116TH ST UNIT D70, VANCOUVER, WA 98682-2267
(360) 831-5356
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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