Individual
MAEVE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
522931
OR
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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