Provider Demographics
NPI:1710240791
Name:GARMAN, JORDAN S (DO)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:S
Last Name:GARMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 NE CIRCLE BLVD
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-4256
Mailing Address - Country:US
Mailing Address - Phone:541-286-4742
Mailing Address - Fax:833-450-5933
Practice Address - Street 1:800 NE CIRCLE BLVD
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-4256
Practice Address - Country:US
Practice Address - Phone:541-286-4742
Practice Address - Fax:833-450-5933
Is Sole Proprietor?:No
Enumeration Date:2012-06-24
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO.18466208VP0000X
ORDO18466208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine