NPI 1376485870

Adrian Gordon, CPSS

Practitioner Peer Specialist Midvale, UT

Practice location

Address: 91 E Fort Union Blvd, Midvale, UT 84047-1531
Phone: (385) 275-6162
Mailing address: 718 E Wilson Ave, Salt Lake City, UT 84105-3123

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence F25-118400 (UT)

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Registry record

NPI: 1376485870
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2026
Record last updated: 6 Apr 2026

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.