Individual
MR. TERRY MARK JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, ATC
Contact information
Practice address
400 HICKORY ST NW STE 201, ALBANY, OR 97321-1700
(541) 812-5840
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2715
OR
Other
Enumeration date
06/11/2006
Last updated
01/11/2021
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