Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Nomie

Individual provider Family Medicine Physician · NPI 1245762889

Jordan Nomie is a Family Practice in Vancouver, Washington. Qualified in 2019, 7 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

100 E 33rd St Ste 100
Vancouver, WA 98663
Phone: (360) 514-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 Mullins Dr, Lebanon, OR 97355-3983 — (541) 259-0200
  • 200 Mullins Dr, Lebanon, OR 97355-3983 — (541) 259-0200

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO209299 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245762889
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 2, 2017
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing address100 E 33rd St Ste 100, Vancouver, WA 98663-2776

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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