JORDAN FUKUMOTO

VANCOUVER, WA
NPI1457871493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
Enumeration Date2017-06-21
Last Update Date2018-03-17
Business Address
JORDAN FUKUMOTO
2621 NE 134TH ST
VANCOUVER, WA 98686
Phone number: 360-859-3346
Mailing Address
JORDAN FUKUMOTO
2968 NW MODA WAY APT 628
HILLSBORO, OR 97124-7022
Phone number:
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