Individual
DR. JORDAN MARK COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8980 161ST AVE NE STE 400, REDMOND, WA 98052-7554
(425) 883-3404
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
(425) 656-4096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OP60769815
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OL60479567
WA
Other
Enumeration date
07/01/2014
Last updated
07/21/2022
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