# GORDON HEALTH CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700700408
- **Authorized official:** PATINA GORDON NP (OWNER)
- **Authorized official phone:** (301) 918-5212

## Contact information

- **Practice address:** 10586 SOURWOOD AVE, WALDORF, MD 20603
- **Practice address phone:** (301) 918-5212
- **Mailing address:** 10586 SOURWOOD AVE, WALDORF, MD 20603-5711
- **Mailing address phone:** (301) 918-5212
- **Mailing address fax:** (301) 517-9318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2026
- **Last updated:** 08/25/2026