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NPI Code Detail

MEDICARE: JORDAN SHELDON

MEDICARE: JORDAN SHELDON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1861348518
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN SHELDON
Provider Business Mailing Address
First Line : 2562 THORNDYKE AVE W APT 301
Second Line :
City : SEATTLE
State : WA
Zip : 98199-3541
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1989 NE PACIFIC ST
Second Line :
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-598-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ JORDAN SHELDON ” Practice Location

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