Individual
COLTON JORDON-MICHAEL HAFEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-BC
Contact information
Practice address
10215 SW HALL BLVD, TIGARD, OR 97223-8809
(503) 245-2415
Mailing address
12388 NW ASHTON DR, BANKS, OR 97106-6051
(503) 313-9187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202007873NP-PP
OR
Other
Enumeration date
01/20/2019
Last updated
05/07/2025
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