Individual
JESSE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
310 NW 116TH AVE UNIT 106, PORTLAND, OR 97229-6108
(541) 788-7468
Mailing address
310 NW 116TH AVE UNIT 106, PORTLAND, OR 97229-6108
(541) 788-7468
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6415
OR
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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