Individual
JORDAN EMMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11385 SW SCHOLLS FERRY RD, BEAVERTON, OR 97008-7167
(503) 524-9040
Mailing address
11385 SW SCHOLLS FERRY RD, BEAVERTON, OR 97008-7167
(503) 524-9040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5717
OR
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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