Individual
JORDAN W NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1648 ELLIS ST STE 102, BOZEMAN, MT 59715
(406) 585-1440
(406) 585-1438
Mailing address
1648 ELLIS ST STE 102, BOZEMAN, MT 59715-8811
(406) 585-1440
(406) 585-1438
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
01/19/2010
Last updated
05/15/2018
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