Organization
BILL JORDAN, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL JORDAN DMD, FAGD (OWNER)
(503) 692-6535
Entity
Organization
Contact information
Practice address
18789 SW BOONES FERRY RD, TUALATIN, OR 97062-8412
(503) 692-6535
(503) 691-2831
Mailing address
18789 SW BOONES FERRY RD, TUALATIN, OR 97062-8412
(503) 692-6535
(503) 691-2831
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6424
OR
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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