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Contact Information

JORDAN A PHELPS
3729 KLINDT DR
THE DALLES, OR97058-3566
 Phone: 541-298-2101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for JORDAN A PHELPS · (Female)

NPI # 1083303077
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2023
Last updated 02/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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