Jerome S Gordon is a Family in Salem, Oregon. Jerome S Gordon practices all healthcare services and medical treatments related to Family. 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 | Family |
|---|---|
| Taxonomy | 103Tf0000X |
| Licence No | 682 |
|
Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
|
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 Family, and it falls under the taxonomy code 103Tf0000X, 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.
Address: Po Box 2333, Clay, NY
Address: 1917 Trixie Ln, Houston, TX
Address: 5557 Carys Brook Ln, Gloucester, VA
Address: 170 Thomas Johnson Dr, Frederick, MD
Address: 6767 N Wickham Rd Ste 306, Melbourne, FL
Address: 16 Ward Pl, Caldwell, NJ
Address: 1259 S Cedar Crest Blvd, Allentown, PA
Address: 4400 Old William Penn Hwy, Monroeville, PA
Address: 16200 N. Dallas Pkwy, Dallas, TN
Address: 218 W Main St, Hyannis, MA
Address: 11124 Wurzbach Rd, San Antonio, TX
Address: 2024 Arkansas Valley Dr, Little Rock, AR
Address: 3621 South State Street, Ann Arbor, MI
Address: Po Box 1288, Nevada City, CA
Address: 7664 Slate Ridge Blvd, Reynoldsburg, OH