Carter, Jordan

Carter, Jordan is an sole proprietor health care provider with primary practice located at 3671 Bayonne Dr Se , Salem OR 97317-5385. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Carter, Jordan can be contacted via phone (503) 931-8768.

Contact Information

Primary practice address
3671 Bayonne Dr Se Salem OR 97317-5385
Phone: (503) 931-8768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1164805917
LBN Legal business name Carter, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2015
Last updated Jun 29th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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