JORDAN JAMES ALLENSWORTH
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1912347675- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 417 SE 164TH AVE STE 300, VANCOUVER, WA, 986848944
- Phone
- (360) 256-4425
- Fax
- (360) 256-2474
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Otolaryngology
Primary License: WA #MD61144936