AMY ELIZABETH GORDON


Address: 31912 Little Boston Rd Ne, Kingston, WA 98346-9700
Phone: 3606330099

AMY ELIZABETH GORDON (NPI# 1447574439) 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) 1447574439
Entity Type Individual
Full Name AMY ELIZABETH GORDON
Credential M.A. L.M.H.C. C.D.P.
Practice Address 31912 Little Boston Rd Ne
Kingston
WA 98346-9700
Mailing Address 84 Barn Swallow Rd
Chimacum
WA 98325-7719
Practice Telephone 3606330099
Enumeration Date 2010-03-18
Last Update Date 2010-03-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
LH 00007718 WA Ambulatory Health Care Facilities
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
CP 00004065 WA Ambulatory Health Care Facilities

Other Providers AMY GORDON

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1164069720 Amy Hilary Gordon Nurse Practitioner 1625 Se 3rd Ave # 502, Fort Lauderdale, FL 33316-2521 2019-12-03
1891345583 Amy L Gordon Nurse Practitioner 1532 Abbe Rd S, Elyria, OH 44035-7349 2019-09-16
1245748748 Amy Gordon Acupuncturist 1926 N 3rd St Ste 100, Flagstaff, AZ 86004-4332 2018-01-18
1629062922 Amy Nicquel Gordon Obstetrics & Gynecology 118 Women's Center Lane, Suite B, Hot Springs, AR 71913 2005-09-01
1083254619 Amy Katherine Gordon Pharmacist 9440 Brownsboro Rd, Louisville, KY 40241-1200 2020-01-12
1679116669 Amy Elisabeth Gordon Counselor 1524 Bishops Lodge Rd, B, Santa Fe, NM 87506 2019-10-22
1780162354 Amy Elizabeth Gordon Pharmacist 272 Hospital Rd, Chillicothe, OH 45601-9031 2018-08-05
1417497702 Amy Gordon Social Worker 11515 Sutphin Blvd, Jamaica, NY 11434-1020 2017-03-06
1467810838 Amy Gordon Counselor 2865 W Broad St, Columbus, OH 43204-2643 2016-02-01
1336573500 Amy R Gordon Nurse Practitioner 525 Portland Ave, Minneapolis, MN 55415-1533 2013-08-23

Office Location

Street Address 31912 LITTLE BOSTON RD NE
City KINGSTON
State WA
Zip Code 98346-9700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992973754 Courtney Elizabeth Oliver Counselor 31912 Little Boston Rd Ne, Port Gamble Sklallam Tribe, Kingston, WA 98346-9700 2008-02-14
1336603026 Jason Raydr-scott Gomez Counselor 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 2019-01-26
1942734884 Adam Jackson Counselor 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 2017-04-18
1891109757 Susan Krall Counselor 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 2014-06-18
1528348182 Jamie Ruth Barringer Counselor 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 2011-08-26
1154614808 Heidi C. Clark Case Manager/Care Coordinator 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 2011-05-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831725688 Sierra Joye Lari Massage Therapist 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 2020-03-12
1235641705 Reba Lee Harris Counselor 7550 Little Boston Road N.e, Kingston, WA 98346 2017-10-24
1134592421 Honeycomb Medical Services, A Med Corp Physician Assistant 700 Alamo Pintado Road, Solvang, CA 98346 2015-11-09
1588000764 Donald G Hill Contractor 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 2013-05-15
1104161900 Marcus Dean Atkinson Massage Therapist 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 2012-12-05
1245580687 Samantha Christine Kottke Massage Therapist 25960 Ohio Ave Suite 206, Kingston, WA 98346 2012-09-13
1265713390 Karen Dale Friend Pharmacist 8196 State Highway 104, Kingston, WA 98346 2011-09-02
1750526323 Megan Elizabeth Pratt Mechanotherapist 25925 Washington Blvd., Kingston, WA 98346 2008-12-10
1073787412 Cindy Pamela Haines Massage Therapist 25925 Washington Boulevard Ne, Kingston, WA 98346 2008-04-16
1417163031 Dian Aletha Poyssick Pharmacist 8196 State Route 104, Kingston, WA 98346 2007-05-14
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992931893 Wilkes Barre Behavioral Hospital Company LLC Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2009-06-05
1043435563 Port Gamble S'klallam Orca Pride Clinic/Center 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 2007-04-17
1346464831 Lisa Kohli Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2007-04-13
1841414349 Mallory Ward Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2007-04-13
1750506143 Nadia M Zukosky Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2007-04-13
1134344542 Ethellean Mcneil Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2007-04-13
1275654956 Luzerne Wyoming Co Mhc#1 Clinic/Center 562 Wyoming Ave, Kingston, PA 18704-3721 2007-04-02
1578622973 Port Gamble S'klallam Chemical Dependency Program Clinic/Center 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 2006-12-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275145682 Sea Mar Community Health Centers Clinic/Center 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 2020-08-18
1386278372 Social Treatment Opportunity Programs II, Inc Clinic/Center 600 S 1st Ave, Othello, WA 99344-1703 2020-02-27
1326672692 Excelsior Integrated Care Center LLC Clinic/Center 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 2020-02-26
1659919561 Baart Behavioral Health Services, Inc. Clinic/Center 716 S Chase St, Port Angeles, WA 98362-6122 2019-12-11
1346888260 Baart Behavioral Health Services, Inc. Clinic/Center 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 2019-12-11
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1780174441 American Behavioral Health Systems, Inc. Clinic/Center 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 2018-05-17
1598255267 American Behavioral Healt Systems, Inc. Clinic/Center 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 2018-05-17
1437648136 American Behavioral Health Systems, Inc. Clinic/Center 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 2018-05-08
1487143350 Steve Parker Clinic/Center 1206 State Ave Ste H, Marysville, WA 98270-3645 2018-05-07
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Competitor

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City KINGSTON
Zip Code 98346

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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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