Gordon, Tashina Nicole

Gordon, Tashina Nicole is an individual health care provider with primary practice located at 104 4Th Ave Sw , Albany OR 97321-2804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gordon, Tashina Nicole can be contacted via phone (541) 967-3819.

Contact Information

Primary practice address
104 4Th Ave Sw Albany OR 97321-2804
Phone: (541) 967-3819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1487390399
LBN Legal business name Gordon, Tashina Nicole
Credentials CRM, CADC-R
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2022
Last updated Nov 21st, 2023 - about 3 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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