Carrie A Gordon
Pediatrician Pediatric Nephrologist
887 Congress St. Suite 320
Portland
, Maine 04102
Carrie A Gordon
Pediatrician Pediatric Nephrologist
887 Congress St. Suite 320
Portland
, Maine 04102
(207) 661-2033
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Carrie A Gordon
- 190 Riverside St Suite 6b
- Portland, ME
- Zip : 04103-1073
- Fax : (207) 661-2033
- Phone : (207) 621-2000
Second Address
- Carrie A Gordon
- 887 Congress St. Suite 320
- Portland, ME
- Zip : 04102
- Fax : (207) 662-5527
- Phone : (207) 662-5522
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD16227 | ME |
| Y | 2080P0210X | Pediatric Nephrologist | MD16227 | ME |
National Provider Identifier
| NPI | 1215020755 |
|---|---|
| Provider Name | Carrie A Gordon |
| First Address | Portland, ME 04103-1073 |
| Second Address | Portland, ME 04102 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 26/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30204313 | (05) | NH |
| 407810099 | (05) | ME |
| I09853 | (02) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.