Carolrene Reychelle Jordan
Carolrene Reychelle Jordan is an Other Specialist/Technologist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2020.
- Licensed in
- WA
- In the registry since
- 2020
Practice location Address checks out
9015 E Mill Plain BlvdVancouver, WA 98664-2536
Phone: (360) 773-5110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X · Licence 89329 (WA) |
|---|
Record details
| NPI number | 1154921054 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 29, 2020 |
| Last updated in NPPES | October 29, 2020 |
| Certification date | October 29, 2020 |
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