JORDAN ELIZABETH PRAYTOR

PORTLAND, OR
NPI1518238666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA165781)
Additional Taxonomies363A00000X Physician Assistant
(Licence: OR  PA165781)
Enumeration Date2012-01-21
Last Update Date2023-02-15
Business Address
JORDAN ELIZABETH PRAYTOR PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 866-617-6855
Mailing Address
JORDAN ELIZABETH PRAYTOR PA-C
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855