Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 31 days before observation
Type 1 individualNPI 1639005986
JORDAN MAX BENJAMIN PARAMEDIC
146L00000X · WALLA WALLA, WA
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 146L00000X | 146L00000X | Primary |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s