Individual
LAURA JORDHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 SE 164TH AVE STE 101, VANCOUVER, WA 98683-1110
(360) 539-0658
Mailing address
3200 SE 164TH AVE STE 101, VANCOUVER, WA 98683-1110
(360) 539-0658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00044347
WA
207Q00000X
Family Medicine Physician
Primary
MD151292
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8417917
—
WA
Enumeration date
05/27/2006
Last updated
08/21/2025
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