Individual
JORDAN KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60560423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710368253
—
WA
01
—
P01624723
RR PTAN WVH
WA
Enumeration date
06/10/2015
Last updated
01/08/2020
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