Jerome S Gordon is a Clinical in Salem, Oregon. Jerome S Gordon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerome S Gordon is 1427103886. The last update date is 2007-07-09.
Jerome S Gordon's current location address is 635 Church St Ne, Salem, Oregon. You can contact this provider via phone number 5033999691 and fax number 5033999401. The mailing address for Jerome S Gordon is 635 Church St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome S Gordon |
|---|---|
| Address | 635 Church St Ne, Salem, Oregon |
| Phone Number | 5033999691 |
| Fax Number | 5033999401 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1427103886 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 635 Church St Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973012402 |
| Phone Number | 5033999691 |
| Fax Number | 5033999401 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 682 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 172437 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerome S Gordon by the Centers for Medicare & Medicaid Services?
The Jerome S Gordon has been assigned the NPI (National Provider Identifier) 1427103886 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jerome S Gordon's physical address?
The Jerome S Gordon is physically located at 635 Church St Ne, in the city of Salem, OR, with the postal code 973012402.
What is the Jerome S Gordon's area of specialization and corresponding taxonomy classification?
The Jerome S Gordon's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Jerome S Gordon receive the assignment of its 1427103886 from the Centers for Medicare & Medicaid Services?
The Jerome S Gordon was issued its 1427103886 by the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the information regarding Jerome S Gordon most recently updated?
The details pertaining to the Jerome S Gordon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.