Provider Demographics
NPI:1750270922
Name:ALLEN, JORDAN BETH (RRT)
Entity type:Individual
Prefix:
First Name:JORDAN
Middle Name:BETH
Last Name:ALLEN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:BETH
Other - Last Name:AVARITT, PLUGGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RT
Mailing Address - Street 1:137 OLD MISSION RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:TX
Mailing Address - Zip Code:75758-5423
Mailing Address - Country:US
Mailing Address - Phone:512-969-8146
Mailing Address - Fax:
Practice Address - Street 1:HARBORVIEW MEDICAL CENTER
Practice Address - Street 2:325 9TH AVENUE MAIN HOSPITAL
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-744-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1182202279C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care