Provider Demographics
NPI:1134307721
Name:JORDAN, SARAH ROSE (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ROSE
Last Name:JORDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5880 NE CORNELL RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-9075
Mailing Address - Country:US
Mailing Address - Phone:971-228-8097
Mailing Address - Fax:971-246-5144
Practice Address - Street 1:5880 NE CORNELL RD
Practice Address - Street 2:SUITE C
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-9075
Practice Address - Country:US
Practice Address - Phone:971-228-8097
Practice Address - Fax:503-681-4146
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD151409207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology