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Contact Information

BRIDGET T OBOYLE JORDAN, CPNP
21900 WILLAMETTE DR STE 202
WEST LINN, OR97068-3284
 Phone: 503-653-0631
 Fax: 503-653-1464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRIDGET T OBOYLE JORDAN · (Female)

NPI # 1972519429
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 08/01/2006
Last updated 07/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 200541965RN
  • OR License # 200550154NP
  • OR Medicaid 023299
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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