Organization
BROCK A VAN GORDON DMD, PC
Active
Other names
Van Gordon Sleep Apnea Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK ASHLEY VAN GORDON DMD (OWNER/ DENTIST)
(503) 730-4924
Entity
Organization
Contact information
Practice address
6485 SW BORLAND RD STE G, TUALATIN, OR 97062-9762
(503) 878-4163
(833) 438-7620
Mailing address
6485 SW BORLAND RD STE G, TUALATIN, OR 97062-9762
(503) 878-4163
(833) 438-7620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
07/11/2025
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