Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Jordan

Individual provider Physical Therapy Assistant · NPI 1093979171

Michael Jordan is a Physical Therapy Assistant in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008

Practice location Address checks out

835 Crater Lake Ave
Medford, OR 97504-6505
Phone: (541) 773-7717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8217 (OR)

Record details

NPI number1093979171
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2008
Last updated in NPPESJuly 17, 2008

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