KELLY LYNN JORDAN
Massage Therapist

Address: 2304 E Burnside St Ste 1, Portland, OR 97214-1677

KELLY LYNN JORDAN (NPI# 1629663422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629663422
Entity Type Individual
Full Name KELLY LYNN JORDAN
Gender Female
Credential LMT
Practice Address 2304 E Burnside St Ste 1
Portland
OR 97214-1677
Practice Telephone 9717162447
Mailing Address 2304 E Burnside St Ste 1
Portland
OR 97214-1677
Mailing Telephone 9717162447
Certification Date 2021-03-03
Enumeration Date 2021-03-03
Last Update Date 2021-03-03
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 225700000X Massage Therapist 25964 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2304 E BURNSIDE ST STE 1
City PORTLAND
State OR
Zip Code 97214-1677

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831497569 David C Derosia Massage Therapist 2304 E Burnside St Ste 1, Portland, OR 97214-1677 2011-03-03
1164965059 Christine Anderson Counselor · Mental Health 2304 E Burnside St Ste 101, Portland, OR 97214-1689 2016-11-23
1346487030 Johanna Jokela Manalis Counselor · Mental Health 2304 E Burnside St Ste 101, Portland, OR 97214-1689 2009-01-16
1891830949 Amy Noel Bader Naturopath 2304 E Burnside St Ste 101, Portland, OR 97214-1689 2007-02-20
1710029731 Leslie A Williams Counselor · Mental Health 2304 E Burnside St Ste 105, Portland, OR 97214-1689 2007-02-13
1366658130 Larry Conner Ma Lpc PC Counselor · Professional 2304 E Burnside St Ste 106, Portland, OR 97214-1689 2007-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558800672 Clear Path Counseling, LLC Counselor · Mental Health 2304 E Burnside St, Suite 6, Portland, OR 97214-1677 2017-02-22
1174976393 Christopher Marquardt Counselor · Mental Health 2304 E Burnside St Ste 3, Portland, OR 97214-1677 2016-07-22
1104165117 Elizabeth Woelfl · Beth Littlewolf Mechanotherapist 2304 E Burnside St, Suite 203, Portland, OR 97214-1677 2013-02-11
1447528583 Katherine Grace Davis Marriage & Family Therapist 2304 E Burnside St, Suite #4, Portland, OR 97214-1677 2011-12-04
1649584509 Stephen Keeley Counselor · Professional 2304 E Burnside St, Suite 202, Portland, OR 97214-1677 2010-08-03
1225362791 Well Being Massage, LLC Massage Therapist 2304 E Burnside St, Portland, OR 97214-1677 2009-09-30
1770776189 Lara Michelle Pevzner Counselor · Mental Health 2304 E Burnside St, Suite 102, Portland, OR 97214-1677 2007-08-20
1356451389 Andrew P. Price Social Worker · Clinical 2304 E Burnside St, Ste. 202, Portland, OR 97214-1677 2006-08-31
1740391770 Andrew P. Price Lcsw, LLC Social Worker · Clinical 2304 E Burnside St, Ste. #202, Portland, OR 97214-1677 2006-08-31
1700812302 Sara Ann Ohgushi Naturopath 2304 E Burnside St, Suite 101, Portland, OR 97214-1677 2006-06-24
Find all providers in zip 97214-1677

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1336772243 Alexandra Mcbryde Acupuncturist 959 Se Division St, #315, Portland, OR 97214 2020-02-19
1356973770 Laura Kille Counselor Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 2020-02-05
1649824335 Morgan Rae Sparks Behavior Technician 1025 Se 11th Ave Apt 302, Portland, OR 97214 2019-07-30
1902463938 Rachel Lewis Massage Therapist 2303 E Burnside St, Portland, OR 97214 2019-05-24
1013495050 Lucija Bergere Case Manager/Care Coordinator 605 Se Cesar E Chavez Blvd, Portland, OR 97214 2018-08-01
1477054146 Shaznin Daruwalla Psychologist 605 Se Cesar E Chavez Blvd, Portland, OR 97214 2018-02-27
1184139321 Briana Nicole Smith Counselor · Mental Health 3910 Se Stark St, Portland, OR 97214 2017-12-11
1801305487 Mason Moore Massage Therapist 80 Se Madison St Ste 216, Portland, OR 97214 2017-09-26
1730606708 Anika Amin Counselor · Mental Health 1027 E Burnside St, Portland, OR 97214 2017-08-29
Find all providers in zip 97214

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346835428 Amanda Fisher 2303 E Burnside St., Portland, OR 97214-1655 2021-03-01
1942894290 Ethan W Trevino 5253 Ne Sandy Blvd, Portland, OR 97213-2562 2021-02-26
1386238137 Body Ritual LLC 2933 Ne Broadway St, Portland, OR 97232-1760 2021-02-23
1376137299 Christopher George Mcclorey 5440 Sw Westgate Dr Ste 100, Portland, OR 97221-2437 2021-02-22
1285228239 Holly V Bonadurer 4531 Se Belmont St Ste 312, Portland, OR 97215-1693 2021-02-21
1548854516 Anna Belle Vacheresse · Anna Drahos-Vacheresse 913 Sw 16th Ave, Portland, OR 97205-1730 2021-02-21
1770176257 Sarah Solano 3014 Ne Killingsworth St, Portland, OR 97211-6814 2021-02-16
1972196657 Ashley Marion Dudley 4927 Ne 30th Ave, Portland, OR 97211-7007 2021-02-14
1194318055 Alexandra J Moreland 936 Se Ankeny St, Portland, OR 97214-1300 2021-02-11
1528659513 Kelly Behm 1617 Ne 17th Ave, Portland, OR 97232-3561 2021-02-01
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.