Provider Demographics
NPI:1821070459
Name:JORDAN, TAMIKO AOCHI (MD)
Entity Type:Individual
Prefix:MRS
First Name:TAMIKO
Middle Name:AOCHI
Last Name:JORDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:TAMIKO
Other - Middle Name:AOCHI
Other - Last Name:RALSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 ORONDO AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2800
Mailing Address - Country:US
Mailing Address - Phone:509-662-6000
Mailing Address - Fax:509-664-4590
Practice Address - Street 1:933 RED APPLE RD STE C
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3370
Practice Address - Country:US
Practice Address - Phone:509-663-8767
Practice Address - Fax:509-663-1421
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81023208000000X
WAMD60760630208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics