Individual
MARCIA C, JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1412 SW 43RD ST, #200, RENTON, WA 98057-4803
(425) 271-4910
(425) 264-1041
Mailing address
1412 SW 43RD ST, #200, RENTON, WA 98057-4803
(425) 271-4910
(425) 264-1041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031325
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8156531
—
WA
Enumeration date
01/24/2006
Last updated
12/28/2016
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