Individual
MR. JORDAN M COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4756 OAKHURST LN SW, PORT ORCHARD, WA 98367-9363
(360) 801-6935
Mailing address
4756 OAKHURST LN SW, PORT ORCHARD, WA 98367-9363
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
RN60550501
WA
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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