IndividualActive
Carolrene Jordan
NPI 1154921054 · Other Specialist/Technologist · Vancouver, WA
Provider details
- NPI number
- 1154921054
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 89329 (WA)
Practice location
9015 E Mill Plain Blvd
Vancouver, WA 98664-2536
Phone: (360) 773-5110
Mailing address
9015 E Mill Plain Blvd
Vancouver, WA 98664-2536
Registry dates
- Enumerated
- 2020-10-29
- Last updated
- 2020-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.