Gordon, Methuel Andriano Vishnu

Gordon, Methuel Andriano Vishnu is an individual health care provider with primary practice located at 1205 Se Professional Mall Blvd Suite 104, Pullman WA 99163-5423. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gordon, Methuel Andriano Vishnu can be contacted via phone (509) 332-2605.

Contact Information

Primary practice address
1205 Se Professional Mall Blvd Suite 104 Pullman WA 99163-5423
Phone: (509) 332-2605
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60231406 Washington

Profile Details

NPI number 1821261728
LBN Legal business name Gordon, Methuel Andriano Vishnu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2008
Last updated Jul 22nd, 2011 - about 15 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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