Brian Kirk Jordan in Portland - Student In An Organized Health Care Education/training Program

Brian Kirk Jordan - NPI 1447457205

Brian Kirk Jordan is a Student In An Organized Health Care Education/training Program in Portland, Oregon. Brian Kirk Jordan practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Brian Kirk Jordan is 1447457205. The last update date is 2014-07-22.

Brian Kirk Jordan's current location address is 3181 Sw Sam Jackson Park Road, Portland, Oregon. You can contact this provider via phone number 5034941077. The mailing address for Brian Kirk Jordan is 3181 Sw Sam Jackson Park Road, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Kirk Jordan
Address 3181 Sw Sam Jackson Park Road, Portland, Oregon
Phone Number 5034941077
Fax Number
Sole Proprietor Y
Credentials MD, PHD

NPI Number Detail

NPI Number 1447457205
Provider Enumeration Date 2007-06-27
Last Updated Date 2014-07-22

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Road
City Portland
State Oregon (OR)
Post Code 972393098
Phone Number 5034941077
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No 4301090101
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Brian Kirk Jordan

What is the unique identifier code issued to Brian Kirk Jordan by the Centers for Medicare & Medicaid Services (CMS)?

The Brian Kirk Jordan has been assigned the NPI (National Provider Identifier) 1447457205. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Brian Kirk Jordan is physically located?

The Brian Kirk Jordan is situated at the following address: 3181 Sw Sam Jackson Park Road, Portland, OR 972393098.

What is the Brian Kirk Jordan's area of specialization and corresponding taxonomy classification?

The Brian Kirk Jordan's specialty field is Student In An Organized Health Care Education/training Program, and it falls under the taxonomy code 390200000X, which categorizes healthcare providers based on their specialties.

On what date did the Brian Kirk Jordan receive its 1447457205 assignment from the Centers for Medicare & Medicaid Services?

The Brian Kirk Jordan was assigned its 1447457205 by the Centers for Medicare & Medicaid Services on 2007-06-27.

When was the information regarding Brian Kirk Jordan most recently updated?

The details pertaining to the Brian Kirk Jordan, including its address, specialty, and other relevant information, were last refreshed on 2014-07-22.

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