Michael Jordan

Physical Therapy Assistant · Medford, OR

Individual Active NPI

NPI number 1093979171

Practice location

835 Crater Lake Ave
Medford, OR 97504-6505
Phone
(541) 773-7717

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NPI record

NPI
1093979171
Entity type
Individual (Type 1)
Enumeration date
July 17, 2008
Last updated
July 17, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 8217 OR

About Michael Jordan

Michael Jordan is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 835 Crater Lake Ave, Medford, OR 97504-6505. The NPI number 1093979171 was assigned on July 17, 2008 and the record was last updated on July 17, 2008.

Michael Jordan lists a license in the registry: #8217 (OR) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Jordan?

The NPI number is 1093979171.

What is the phone number of Michael Jordan?

The phone number listed for the practice location is (541) 773-7717.

Where is Michael Jordan located?

835 Crater Lake Ave, Medford, OR 97504-6505.

What is the taxonomy code for Michael Jordan?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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