NPI 1447941307

Andrew James Gordon

Practitioner Independent Duty Corpsman Warrenton, OR

Practice location

Address: 2185 SE 12th Pl, Warrenton, OR 97146-9311
Phone: (503) 861-6240

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1447941307
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2023
Record last updated: 19 May 2023

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.