Individual
JORDYN LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8333 SE 13TH AVE, PORTLAND, OR 97202-7101
(503) 595-9300
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10015135
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
10015135
OR
Other
Enumeration date
09/30/2021
Last updated
04/14/2025
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