Jerome S Gordon is a Psychologist in Salem, Oregon. Jerome S Gordon practices all healthcare services and medical treatments related to Psychologist. 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 | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 682 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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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 Psychologist, and it falls under the taxonomy code 103T00000X, 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.
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