Individual
JORDAN HARUO NAKAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
900 PACIFIC AVE, EVERETT, WA 98201-4168
(808) 754-4848
Mailing address
6550 WOODLAWN AVE N, SEATTLE, WA 98103-5428
(808) 754-4848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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