CAROLRENE REYCHELLE JORDAN
NPI 1154921054
Specialist/Technologist, Other in Vancouver, WA

Q: What is Carolrene Jordan's NPI number?

The NPI number for Carolrene Jordan is 1154921054. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Q: What is Carolrene Jordan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolrene Jordan was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 29, 2020

9015 E MILL PLAIN BLVD, VANCOUVER, WA 98664(360) 773-5110 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carolrene Reychelle Jordan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLRENE REYCHELLE JORDAN (NPI 1154921054) is an individual specialist/technologist, other provider in Vancouver, Washington, licensed in Washington (89329) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1154921054

Entity TypeIndividualFemale

Primary Taxonomy246Z00000X

Provider Legal NameCAROLRENE REYCHELLE JORDAN

Location Address9015 E MILL PLAIN BLVDVancouver, WA 98664-2536

Mailing Address9015 E Mill Plain BlvdVancouver, WA 98664-2536 · (360) 773-5110

Phone(360) 773-5110

Sole ProprietorNo

Enumeration DateOctober 29, 2020

NPPES CertifiedOctober 29, 2020

✔ NPI 1154921054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246Z00000X

License✔ Licensed in WA · 89329

Definition

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

9015 E MILL PLAIN BLVD, Vancouver, WA 98664

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEACH WILLOW LLC

Technician, Other

9015 E MILL PLAIN BLVD
VANCOUVER, WA 98664

Clark County (360) 773-5110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolrene Jordan's NPI number?

The NPI number for Carolrene Jordan is 1154921054. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Carolrene Jordan located?

Carolrene Jordan practices at 9015 E Mill Plain Blvd, Vancouver, WA 98664. The listed phone number is (360) 773-5110.

What is Carolrene Jordan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Carolrene Jordan was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.