Individual
JORDAN NICHOLAS VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2025 NE BAKER ST., SUITE A, MCMINNVILLE, OR 97128
(503) 435-1900
(503) 435-1930
Mailing address
2025 NE BAKER ST., SUITE A, MCMINNVILLE, OR 97128
(503) 435-1900
(503) 435-1930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61014
OR
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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