Individual
JORDAN KATHLEEN HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 NE 89TH WAY, VANCOUVER, WA 98665-5329
(509) 209-1105
Mailing address
3905 NE 89TH WAY, VANCOUVER, WA 98665-5329
(509) 209-1105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60973401
WA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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