Individual
JORDON VAN DE VELDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2214 E 29TH AVE, SPOKANE, WA 99203-3939
(509) 755-5250
(509) 755-5251
Mailing address
2214 E 29TH AVE, SPOKANE, WA 99203-3939
(509) 755-5250
(509) 755-5251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61141566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61141566
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
03/16/2018
Last updated
02/23/2023
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