Individual
LINDSAY B JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3417 NE MARINE DR # HB-02, PORTLAND, OR 97211-2121
(337) 257-7376
Mailing address
3417 NE MARINE DR # HB-02, PORTLAND, OR 97211-2121
(337) 257-7376
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4232917
OR
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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