Healthcare Provider Details

I. General information

NPI: 1710815782
Provider Name (Legal Business Name): JORDAN C. STERN M.D.P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 STEWART ST SUITE 400
SEATTLE WA
98101-1230
US

IV. Provider business mailing address

600 STEWART ST SUITE 400
SEATTLE WA
98101-1230
US

V. Phone/Fax

Practice location:
  • Phone: 212-683-0174
  • Fax: 646-731-6880
Mailing address:
  • Phone: 212-683-0174
  • Fax: 646-731-6880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: JORDAN C. STERN
Title or Position: PRESIDENT
Credential: MD
Phone: 212-683-0174