Jordan James Allensworth

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Vancouver, WA

No coordinates on file. Search this address in Google Maps

Additional practice locations (3)

• 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-8220
• 1801 1st Ave Ste 3a, Longview, WA 98632-3271 — (360) 636-4469
• 14411 Ne 20th Ave Ste 101, Vancouver, WA 98686-6432 — (360) 256-4425

Specialties & licences

Otolaryngology Physician (primary)	Taxonomy 207Y00000X · Licence MD61144936 (WA)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1912347675
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	No
NPI enumerated	June 26, 2013
Last updated in NPPES	July 16, 2021
Certification date	July 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	OTOLARYNGOLOGY
Medical school	OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated	2016 (10 years in practice)
Group practice	Peacehealth — 248 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	3 on file with Medicare