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NPI 1760153316

IndividualActive

Jordan Vigna

NPI 1760153316 · Independent Duty Corpsman · Port Angeles, WA

Provider details

NPI number: 1760153316
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Sex: Male
Sole proprietor: No

Practice location

1 Ediz Hook

Port Angeles, WA 98362-2201

Phone: (360) 417-5984

More WA providers

Mailing address

1 Ediz Hook

Port Angeles, WA 98362-2201

Registry dates

Enumerated: 2021-09-23
Last updated: 2021-09-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jordan Vigna — NPI 1760153316, Port Angeles, WA | NPI Central