Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEROME S GORDON, PH.D.
Active Sole ProprietorDR. JEROME S GORDON, PH.D. is a Family Psychologist healthcare provider located in SALEM, Oregon. NPI 1427103886 is currently active in the NPPES registry. Verify at CMS.
Family Psychologist · SALEM, OR
Registration Details
- NPI Number
- 1427103886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2007 (19.567357071028 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
682 (OR)682 (OR)682 (OR)682 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
635 CHURCH ST NESALEM, OR, 973012402Browse OR providers · Browse ZIP 97301
- Phone
- 5033999691
- Fax
- 5033999401
- Primary Specialty
-
Family Psychologist
103TF0000X
- Additional Specialty
- Family Psychologist
- Additional Specialty
- Forensic Psychologist
- Additional Specialty
- Psychologist
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.