Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GORDON A MATLOCK, MD
Active Sole ProprietorGORDON A MATLOCK, MD is a Specialist healthcare provider located in LONGVIEW, Washington. NPI 1952343543 is currently active in the NPPES registry. Verify at CMS.
Specialist · LONGVIEW, WA
Registration Details
- NPI Number
- 1952343543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2006 (20.142775871016 yrs)
- Last Updated
- May 3, 2012
- License
-
MD00017271 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1615 DELAWARE STSUITE 100LONGVIEW, WA, 986322310Browse WA providers · Browse ZIP 98632
- Phone
- 3605776628
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LONGVIEW, WA
| Name | Credential | NPI |
|---|---|---|
| MR. MARK STEVEN PURCELL | P.T. | 1952380222 |
| DR. MARK MICHAEL SAPIRSTEIN | M.D. | 1659485167 |
| MRS. JESSICA RAE IDDINGS | LMP | 1982746558 |
| LORI JEAN SCHMIDT | BS, PT | 1649305368 |
| CHARLENE A SOWER | BS,PT | 1689709313 |
| MRS. CARRIE JEAN VIGOREN | LMT | 1487785788 |
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.