DR. JORDAN MARK COLLIER (NPI# 1629484464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629484464 |
| Entity Type | Individual |
| Full Name | DR. JORDAN MARK COLLIER |
| Credential | DO |
| Practice Address |
8980 161st Ave Ne Ste 400 Redmond WA 98052-7554 |
| Mailing Address |
Po Box 34876 Seattle WA 98124-1876 |
| Practice Telephone | 4258833404 |
| Mailing Telephone | (425) 656-5412 |
| Mailing Fax Number | 4256564096 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OP60769815 | WA | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OL60479567 | WA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3915 Talbot Rd S, Ste 401, Renton, WA 980555738 | 4256564224 | 4256565099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356838 | Jordan Collier | Speech-Language Pathologist | 5905 Forest Pl Ste 230, Little Rock, AR 72207-5265 | 2020-08-10 |
| 1376861740 | Jordan Collier | Internal Medicine | 543 Main St, Apt 400, New Rochelle, NY 10801-7260 | 2010-05-11 |
| 1952565087 | Jordan Katherine Collier | Physical Therapy Assistant | 278 Dry Valley Rd, Cookeville, TN 38506-5461 | 2008-07-17 |
| Street Address |
8980 161ST AVE NE STE 400 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-7554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276285 | Lisa Chhay | Student in an Organized Health Care Education/Training Program | 7718 134th Ave Ne, Redmond, WA 98052-4016 | 2020-02-08 |
| 1831748136 | Sydney Anne Blaine | Student in an Organized Health Care Education/Training Program | 16625 Ne 87th St # A-6, Redmond, WA 98052-3762 | 2019-09-09 |
| 1043879497 | Jeffrey Rae Sterritt | Student in an Organized Health Care Education/Training Program | 11207 167th Ct Ne, Redmond, WA 98052-2784 | 2019-06-10 |
| 1306195029 | Hilary Elisabeth Watts | Student in an Organized Health Care Education/Training Program | 16225 Ne 87th St Ste A6, Redmond, Redmond, WA 98052-3536 | 2012-09-10 |
| 1639731813 | Kody Lee Evans | Student in an Organized Health Care Education/Training Program | 16225 Ne 87th St Ste A6, Redmond, WA 98052-3536 | 2019-07-08 |
| 1093379604 | Stephanie Erin Hartman | Student in an Organized Health Care Education/Training Program | 16225 Ne 87th St Ste A6, Redmond, WA 98052-3536 | 2019-04-29 |
| 1942784020 | Jillian Alice Lloyd | Student in an Organized Health Care Education/Training Program | 16225 Ne 87th St Ste A6, Redmond, WA 98052-3536 | 2018-09-24 |
| 1083198907 | Jacqueline Rene Groves | Student in an Organized Health Care Education/Training Program | 16225 Ne 87th St, Redmond, WA 98052-3536 | 2018-09-17 |
| 1669985289 | Julia Anne Young | Student in an Organized Health Care Education/Training Program | 14880 Ne 24th St, Redmond, WA 98052-5533 | 2017-11-06 |
| 1861910390 | Mina Kirilov | Student in an Organized Health Care Education/Training Program | 16225 Ne 87th St Ste A6, Redmond, WA 98052-3536 | 2017-09-05 |
| Find all providers in REDMOND | ||||
Please comment or provide details below to improve the information on DR. JORDAN MARK COLLIER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.