Individual
DR. GORDON BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5304 W OLD STUMP DR NW, GIG HARBOR, WA 98332
(360) 633-0205
Mailing address
5304 W OLD STUMP DR NW, GIG HARBOR, WA 98332-7803
(360) 633-0205
(360) 876-0156
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00028852
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028852
MEDICAL LICENSE
WA
Enumeration date
09/05/2006
Last updated
05/31/2018
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