IndividualActive
Anthony Jordan, PA-S
NPI 1336548064 · Physician Assistant · Enumclaw, WA
Provider details
- NPI number
- 1336548064
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-S
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1427 Jefferson Ave
Suite 101
Enumclaw, WA 98022-3649
Phone: (360) 825-4466
Approximate (ZIP-level) locationGet directions
Mailing address
1427 Jefferson Ave
Enumclaw, WA 98022-3649
Registry dates
- Enumerated
- 2014-08-19
- Last updated
- 2014-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.