JORDAN NADINE DENNY AUL
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1225538580- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6800 SW 105TH AVE STE 206, BEAVERTON, OR, 970085487
- Phone
- (503) 430-1777
- Fax
- (503) 372-5119
Specialties & Taxonomies
Physician Assistant
Primary License: OR #PA203267
All Addresses
MAILING
4710 SW 2ND AVE
PORTLAND, OR, 972392890