Dr. Dan Gordon
Pediatric Otolaryngology
3181 Sw Sam Jackson Park Rd, Pv01 Dept. Otolaryngology, Oregon Health & Science Universit
Portland
, Oregon 97239-3098
Dr. Dan Gordon
Pediatric Otolaryngology
3181 Sw Sam Jackson Park Rd, Pv01 Dept. Otolaryngology, Oregon Health & Science Universit
Portland
, Oregon 97239-3098
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Dan Gordon
- 7315 Sw 33rd Ave
- Portland, OR
- Zip : 97219-1854
- Phone :
Second Address
- Dr. Dan Gordon
- 3181 Sw Sam Jackson Park Rd, Pv01 Dept. Otolaryngology, Oregon Health & Science Universit
- Portland, OR
- Zip : 97239-3098
- Phone : (503) 494-4654
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | FE177542 | OR |
National Provider Identifier
| NPI | 1447795125 |
|---|---|
| Provider Name | Dr. Dan Gordon |
| First Address | Portland, OR 97219-1854 |
| Second Address | Portland, OR 97239-3098 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2017 |
| Last Update Date | 09/01/2017 |
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.