Sandra S Gordon in Siletz - Addiction (substance Use Disorder)
Sandra S Gordon - NPI 1346363959
Sandra S Gordon is a Addiction (substance Use Disorder) in Siletz, Oregon. Sandra S Gordon practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sandra S Gordon is 1346363959. The last update date is 2007-07-08.
Sandra S Gordon's current location address is Po Box 320, Siletz, Oregon. You can contact this provider via phone number 5414441030 and fax number 5414449695. The mailing address for Sandra S Gordon is Po Box 320, Siletz, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra S Gordon |
|---|---|
| Address | Po Box 320, Siletz, Oregon |
| Phone Number | 5414441030 |
| Fax Number | 5414449695 |
| Sole Proprietor | N |
| Credentials | CADC II |
NPI Number Detail
| NPI Number | 1346363959 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 320 |
|---|---|
| City | Siletz |
| State | Oregon (OR) |
| Post Code | 973800320 |
| Phone Number | 5414441030 |
| Fax Number | 5414449695 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 95R12 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identification code assigned to Sandra S Gordon by the Centers for Medicare & Medicaid Services?
The Sandra S Gordon has been issued the NPI (National Provider Identifier) 1346363959, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Sandra S Gordon's physical address?
The Sandra S Gordon is physically located at Po Box 320, in the city of Siletz, OR, with the postal code 973800320.
What is the Sandra S Gordon's area of specialization and corresponding taxonomy classification?
The Sandra S Gordon's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1346363959 to Sandra S Gordon?
The Sandra S Gordon received its 1346363959 assignment from the Centers for Medicare & Medicaid Services on 2007-04-09.
As of what date were the Sandra S Gordon's details last updated?
The information pertaining to the Sandra S Gordon, including its address, specialty, and other details, was most recently updated on 2007-07-08.