Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHAN PAUL GORDON
ActiveJOHNATHAN PAUL GORDON is a Social Worker healthcare provider located in PRYOR, Oklahoma. NPI 1760965388 is currently active in the NPPES registry. Verify at CMS.
Social Worker · PRYOR, OK
Registration Details
- NPI Number
- 1760965388
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2018 (7.9153699401774 yrs)
- Last Updated
- Nov 13, 2020
- License
-
6386 (OK)
Practice Information
- Address
-
109 N FAIRLAND STPRYOR, OK, 743614203Browse OK providers · Browse ZIP 74361
- Phone
- 9188251405
- Fax
- 9188763436
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in PRYOR, OK
| Name | Credential | NPI |
|---|---|---|
| MR. KENNETH EDMUND MILLER JR. | — | 1174850648 |
| TAMI BLACKWELL JENNINGS | B.S. | 1598081853 |
| SARAH HUTTON | — | 1851761068 |
| STACIE VUNETICH | LMSW | 1396273942 |
| OLIVIA D FULTON | LMSW | 1902336068 |
| REBECCA JO RENFROE | — | 1902460819 |
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.