BRENT M GORDON


Address: 5505 S Pacific Hwy, Phoenix, OR 97535
Phone: 5413264905

BRENT M GORDON (NPI# 1417318577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417318577
Entity Type Individual
Full Name BRENT M GORDON
Credential CADC I
Practice Address 5505 S Pacific Hwy
Phoenix
OR 97535
Mailing Address 1003 E Main St Ste 104
Medford
OR 97504-7140
Practice Telephone 5413264905
Practice Fax Number 5416082888
Mailing Telephone 5413264905
Mailing Fax Number 5416082888
Enumeration Date 2016-03-16
Last Update Date 2018-07-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers BRENT GORDON

NPI Name Taxonomy Address Enumeration
1376512152 Brent Gordon Family Medicine 3629 Western Center Blvd, Ste. 211, Fort Worth, TX 76137-1939 2006-03-15
1710391040 Brent Kobe Gordon Emergency Medicine 2315 Stockton Blvd, Sacramento, CA 95817 2014-06-14
1669480083 Brent Mcnairy Gordon Internal Medicine 11234 Anderson St, Rm 4433, Loma Linda, CA 92354-2804 2006-08-03

Office Location

Street Address 5505 S PACIFIC HWY
City PHOENIX
State OR
Zip Code 97535

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740649821 Elizabeth Van Driel Counselor 149 N Main Street, Phoenix, OR 97535 2016-02-17
1740611458 William Allen Haden Jr. Social Worker 106 N. Rose Street, Phoenix, OR 97535 2013-12-05
1528396470 Sarah Bly Midwife, Lay 509 5th St., Phoenix, OR 97535 2009-12-03
1992961239 Stephen J Brummett Counselor 482 Elm St, Phoenix, OR 97535 2008-08-06
1568680577 Christine Carolyn Robinson Chiropractor 721 N. Main St., Space A, Phoenix, OR 97535 2007-04-23
1982729539 Daniel Jansen Counselor 215 N Rose St, Phoenix, OR 97535 2007-03-20
1770196016 La Clinica Del Valle Family Healthcare Center Inc. Clinic/Center 106 N. Rose Street, Phoenix, OR 97535 2020-08-26
1760972160 Jennifer L Burke Counselor 149 N Main Street, Phoenix, OR 97535 2018-05-11
1124552872 Desiree Thompson Counselor 149 N Main St, Phoenix, OR 97535 2017-04-19
1821333402 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 215 N Rose St, Phoenix, OR 97535 2012-12-07
Find all providers in zip 97535

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1508478082 Tahonna Latreise Surrell Counselor 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 2020-08-17
1346858883 Heather Romero Counselor 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 2020-07-21
1134747546 Arcadian Homes, LLC Counselor 5924 W Trumbull Rd, Phoenix, AZ 85043-1967 2020-07-13
1902423023 Danielle Jeanette Le Blanc Counselor 3228 W Silver Sage Ln, Phoenix, AZ 85083-5866 2020-07-06
1366060477 Rising Phoenix Neighborhood Counselor 202 E Earll Dr Unit 360-35, Phoenix, AZ 85012-2634 2020-07-06
1043832504 Candice Marie Isaacson Counselor 2911 W Sunnyside Dr, Phoenix, AZ 85029-3302 2020-05-07
1639799356 Harbor Health Counselor 3213 S 66th Ave, Phoenix, AZ 85043-1922 2020-04-22
1083247357 Edward Scott White Counselor 2150 E Bell Rd Unit 1042, Phoenix, AZ 85022-2973 2020-02-14
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Competitor

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City PHOENIX
Zip Code 97535

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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