Individual
DR. BRIAN KIRK JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239-3098
(503) 494-1077
Mailing address
3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239-3098
(503) 494-1077
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD167443
OR
390200000X
Student in an Organized Health Care Education/Training Program
4301090101
MI
Other
Enumeration date
06/27/2007
Last updated
07/22/2014
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