Elizabeth Jordan MD PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MD60494572 Issued in WA

Legal business name

ELIZABETH JORDAN MD PLLC

Practice address

2825 Eastlake Ave E
Suite 120
Seattle, WA 98102-3062

Phone

(206) 637-9101

NPI assigned

Dec 29, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Jordan, MD

Title

Psychiatrist

Phone

(206) 637-9101

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1780049239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 EASTLAKE AVE E",
            "address_2": "SUITE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 EASTLAKE AVE E",
            "address_2": "SUITE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023062",
            "telephone_number": "206-637-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH JORDAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "206-637-9101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "MD60494572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.