NPI 1205683984

Myla Jordan, RN

Practitioner Registered Nurse Lebanon, OR

Practice location

Address: 1700 S 5th St, Lebanon, OR 97355-2504
Phone: (541) 451-8555

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 201606325RN (OR)

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Registry record

NPI: 1205683984
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2024
Record last updated: 1 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.