DR. Jordan Michael Blacktop, PHD is a mental health counselor in Coos Bay, OR. DR. Jordan Michael Blacktop, PHD NPI is 1225759566. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
281 LACLAIR ST
COOS BAY, OR
ZIP 97420-988
Phone: (541) 266-6700
The enumeration date for this NPI number is 9/6/2022 and was last updated on 9/6/2022.