JORDAN WILLIAM WILDE

GRESHAM, OR
NPI1922370543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: OR  5033)
Enumeration Date2012-01-27
Last Update Date2020-10-13
Business Address
Dr. JORDAN WILLIAM WILDE D.C.
191 SE STARK STREET
GRESHAM, OR 97233-8386
Phone number: 503-328-9300
Mailing Address
Dr. JORDAN WILLIAM WILDE D.C.
15777 SE RUBY DR
MILWAUKIE, OR 97267-3703
Phone number:
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