Michael Jordan
Michael Jordan is a Physical Therapy Assistant in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2008
Practice location Address checks out
835 Crater Lake AveMedford, OR 97504-6505
Phone: (541) 773-7717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 8217 (OR) |
|---|
Record details
| NPI number | 1093979171 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2008 |
| Last updated in NPPES | July 17, 2008 |
| Mailing address | 835 Crater Lake Ave, Medford, OR 97504-6505 |
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Kimberly Miller
835 Crater Lake Ave, Medford, OR 97504-6505 · (541) 773-7717