Organization
JORDAN M HENDRICKSON PSYD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN M HENDRICKSON PSYD (PSYCHOLOGIST/OWNER)
(503) 709-3295
Entity
Organization
Contact information
Practice address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(503) 709-3295
Mailing address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(503) 709-3295
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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