Individual
JORDAN ALEXANDER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3653 NE JOHN OLSEN AVE, HILLSBORO, OR 97124-5815
(503) 726-7260
Mailing address
12120 SW BRUCE LN, BEAVERTON, OR 97008-5225
(503) 341-3831
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20938
OR
Other
Enumeration date
01/26/2018
Last updated
03/17/2018
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