Individual
JORDAN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7604 NE 5TH AVE STE 109, VANCOUVER, WA 98665-8200
(360) 314-4380
Mailing address
7604 NE 5TH AVE STE 109, VANCOUVER, WA 98665-8200
(360) 314-4380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60821374
WA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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