Moody, Jordan

Moody, Jordan is an individual health care provider with primary practice located at 14600 Nw Cornell Rd , Portland OR 97229-5442. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Moody, Jordan can be contacted via phone (541) 561-8737.

Contact Information

Primary practice address
14600 Nw Cornell Rd Portland OR 97229-5442
Phone: (541) 561-8737
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1063965937
LBN Legal business name Moody, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2016
Last updated Jan 21st, 2021 - about 4 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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