Dr. Jordan Justin Tjeerd Mulder
Otolaryngology/Facial Plastic Surgery
3920 Capital Mall Dr Sw Ste 100a
Olympia
, Washington 98502-8701
Dr. Jordan Justin Tjeerd Mulder
Otolaryngology/Facial Plastic Surgery
3920 Capital Mall Dr Sw Ste 100a
Olympia
, Washington 98502-8701
(360) 704-4746
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Jordan Justin Tjeerd Mulder
- 404b Black Hills Lane Sw Capital Ent
- Olympia, WA
- Zip : 98502-8654
- Fax : (360) 704-4746
- Phone : (360) 704-4745
Second Address
- Dr. Jordan Justin Tjeerd Mulder
- 3920 Capital Mall Dr Sw Ste 100a
- Olympia, WA
- Zip : 98502-8701
- Fax : (360) 704-4746
- Phone : (360) 704-4745
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OP60262509 | WA |
National Provider Identifier
| NPI | 1902054760 |
|---|---|
| Provider Name | Dr. Jordan Justin Tjeerd Mulder |
| First Address | Olympia, WA 98502-8654 |
| Second Address | Olympia, WA 98502-8701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2008 |
| Last Update Date | 16/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.