DR. JOHN JOSEPH GORDON (NPI# 1902985120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902985120 |
| Entity Type | Individual |
| Full Name | DR. JOHN JOSEPH GORDON |
| Credential | DMD |
| Practice Address |
2425 Sw Vermont St Portland OR 97219-1939 |
| Practice Telephone | 5032467717 |
| Mailing Telephone | 5032467717 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5047 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566151 | John Gordon | Pharmacist | 18740 Se River Ridge Rd, Tequesta, FL 33469-8106 | 2018-07-28 |
| 1265672331 | John Huntington Gordon | Speech-Language Pathologist | 280 Warburton Ave, Hastings On Hudson, NY 10706-2809 | 2009-03-02 |
| 1952422560 | John Robert Gordon | Dentist | 5901 Nw 63rd Ter, Suite150, Kansas City, MO 64151-3319 | 2007-04-02 |
| 1093868051 | John Edward Gordon | Psychiatry & Neurology | 1200 W. Ironwood, Suite # 306, Coeur D' Alene, ID 83814 | 2007-01-20 |
| 1134205586 | John A Gordon Jr. | Dentist | 901 West Route 34, Suite 103, Plano, IL 60545 | 2006-10-28 |
| 1669557526 | John Charles Gordon | Orthopaedic Surgery | 6830 Hospital Drive #202, Baltimore, MD 21237-4377 | 2006-10-26 |
| 1801980479 | John Gordon | Obstetrics & Gynecology | 11126 Kingston Pike, Knoxville, TN 37934-2806 | 2006-10-03 |
| 1750491866 | John Lynn Gordon | Dentist | 1315 South 8th, Deming, NM 88030 | 2006-08-30 |
| 1831158351 | John David Gordon | Physician Assistant | 88 E Tioga Ave Ste 102, 88 Tioga Avenue, Ste 102, Corning, NY 14830-2858 | 2006-03-22 |
| 1538145180 | John G Gordon | Pharmacist | 115 N Granite Ave, Granite Falls, WA 98252-2348 | 2005-12-15 |
| Street Address |
2425 SW VERMONT ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
| 1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
| 1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
| 1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
| 1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
| 1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
| 1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
| 1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
| 1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
| Find all providers in PORTLAND | ||||
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| 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.