Jordan, Elise Lynne

Jordan, Elise Lynne is an individual health care provider with primary practice located at 36 Sw Nye St , Newport OR 97365-3821. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jordan, Elise Lynne can be contacted via phone (541) 265-0535.

Contact Information

Primary practice address
36 Sw Nye St Newport OR 97365-3821
Phone: (541) 265-0535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1467092833
LBN Legal business name Jordan, Elise Lynne
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2020
Last updated Oct 26th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467092833 NPPES
Oregon MEDICAID 500775573

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