Gordon, Brent M

Gordon, Brent M is an individual health care provider with primary practice located at 5505 S Pacific Hwy , Phoenix OR 97535. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gordon, Brent M can be contacted via phone (541) 326-4905.

Contact Information

Primary practice address
5505 S Pacific Hwy Phoenix OR 97535
Phone: (541) 326-4905
Fax: (541) 608-2888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1417318577
LBN Legal business name Gordon, Brent M
Credentials CADC I
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2016
Last updated Jul 3rd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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