Jordan Personius, PA

NPI #1013347640 in Grants Pass, Oregon

Provider Information

NPI Number: 1013347640
Entity Type: Individual
Name: Jordan Personius, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 18, 2013
Last Updated: Nov 18, 2013

Practice Location

Address: 500 SW RAMSEY AVE
City: Grants Pass
State: Oregon
ZIP Code: 97527-5554
Phone: (541) 789-4281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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