NPI 1063242691

Brock a van Gordon DMD, PC

Organisation Sleep Disorder Diagnostic Clinic/Center Tualatin, OR

Practice location

Address: 6485 SW Borland Rd STE G, Tualatin, OR 97062-9762
Phone: (503) 878-4163
Fax: (833) 438-7620

Authorised official

Name: Brock Ashley van Gordon
Title: Owner/ Dentist
Phone: (503) 730-4924

Registered specialties (2)

Sleep Disorder Diagnostic Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QS1200X

Other Clinic/Center providers in Oregon →

Dental Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Registry record

NPI: 1063242691
Entity type: Organization
NPI issued: 7 Aug 2024
Record last updated: 11 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.