Ms Lillie Mae Jordan, RN is a
Registered Nurse - Home Health based in Warren, Oregon. Ms Lillie Mae Jordan is licensed to practice in Oregon (license number 092000RN4RN) and her current practice location is
58401 Lindsay Ln, Warren, Oregon. She can be reached at her office (for appointments etc.) via phone at
(971) 346-6314.
NPI number for Ms Lillie Mae Jordan is 1184509226 and her current mailing address is 7133 N Lombard St, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184509226.
Provider's Profile
Full Name | Ms Lillie Mae Jordan |
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Gender | Female |
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Speciality | Registered Nurse - Home Health |
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Location | 58401 Lindsay Ln, Warren, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184509226
- Provider Enumeration Date: 08/07/2025
- Last Update Date: 08/07/2025
Medical Identifiers
Medical identifiers for Ms Lillie Mae Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184509226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | 092000RN4RN (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lillie Mae Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Lillie Mae Jordan, RN 7133 N Lombard St, Portland, OR 97203-3205 Ph: (971) 506-4697 | Ms Lillie Mae Jordan, RN 58401 Lindsay Ln, Warren, OR 97053-9303 Ph: (971) 346-6314 |
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