Provider Demographics
NPI:1144376492
Name:DRS. JORDAN & ANDREWS PLLC
Entity Type:Organization
Organization Name:DRS. JORDAN & ANDREWS PLLC
Other - Org Name:SALISH WOMEN'S HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-363-2800
Mailing Address - Street 1:1560 N 115TH ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8414
Mailing Address - Country:US
Mailing Address - Phone:206-363-2800
Mailing Address - Fax:206-363-2811
Practice Address - Street 1:1560 N 115TH ST
Practice Address - Street 2:SUITE 212
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8414
Practice Address - Country:US
Practice Address - Phone:206-363-2800
Practice Address - Fax:206-363-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7110133Medicaid
WAWA00302OtherTHIN CLEARINGHOUSE GRP ID
WAAB26545Medicare ID - Type Unspecified