Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT M GORDON, CADC I
ActiveBRENT M GORDON, CADC I is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PHOENIX, Oregon. NPI 1417318577 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PHOENIX, OR
Registration Details
- NPI Number
- 1417318577
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2016 (10.394553124482 yrs)
- Last Updated
- Jul 3, 2018
Practice Information
- Address
-
5505 S PACIFIC HWYPHOENIX, OR, 97535Browse OR providers · Browse ZIP 97535
- Phone
- 5413264905
- Fax
- 5416082888
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PHOENIX, OR
| Name | Credential | NPI |
|---|---|---|
| LORRIE SMITH | — | 1487031340 |
| MARIANA SANDOVAL | — | 1194183111 |
| JENNIFER KING | BSW, CADCII | 1932569563 |
| MISS KRISTEN HAWKINSON | — | 1386188225 |
| DENISE MCNULTY | — | 1760915532 |
| DESIREE THOMPSON | — | 1124552872 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.