John Joseph Gordon in Portland - General Practice
John Joseph Gordon - NPI 1902985120
John Joseph Gordon is a General Practice in Portland, Oregon. John Joseph Gordon practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Joseph Gordon is 1902985120. The last update date is 2007-07-08.
John Joseph Gordon's current location address is 2425 Sw Vermont St, Portland, Oregon. You can contact this provider via phone number 5032467717. The mailing address for John Joseph Gordon is 2425 Sw Vermont St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Gordon |
|---|---|
| Address | 2425 Sw Vermont St, Portland, Oregon |
| Phone Number | 5032467717 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1902985120 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2425 Sw Vermont St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972191939 |
| Phone Number | 5032467717 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5047 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to John Joseph Gordon?
The John Joseph Gordon has been issued the NPI (National Provider Identifier) 1902985120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where John Joseph Gordon is physically located?
The John Joseph Gordon is situated at the following address: 2425 Sw Vermont St, Portland, OR 972191939.
What is the area of specialization for John Joseph Gordon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Joseph Gordon is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the John Joseph Gordon receive the assignment of its 1902985120 from the Centers for Medicare & Medicaid Services?
The John Joseph Gordon was issued its 1902985120 by the Centers for Medicare & Medicaid Services on 2006-11-06.
When was the information regarding John Joseph Gordon most recently updated?
The details pertaining to the John Joseph Gordon, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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