Individual
CAITLIN BLAIR JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-6454
Mailing address
216 JAMES ST, SEATTLE, WA 98104-5102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CAAR.CG.61013841
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
981040073
—
WA
Enumeration date
10/22/2019
Last updated
10/22/2019
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