Mark Austin Jordan

NPI #1013478338 in Wilsonville, Oregon

Provider Information

NPI Number: 1013478338
Entity Type: Individual
Name: Mark Austin Jordan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 28, 2019
Last Updated: Mar 28, 2019

Practice Location

Address: 29174 SW TOWN CENTER LOOP W STE 101
City: Wilsonville
State: Oregon
ZIP Code: 97070-9309
Phone: (971) 252-6755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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