Individual
MS. AMY NICOLE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, MSW
Contact information
Practice address
6002 WESTGATE BLVD, SUITE 120, TACOMA, WA 98406-2570
(253) 312-9472
Mailing address
820 N 3RD ST, APT. E, TACOMA, WA 98403-1934
(253) 213-9472
(253) 752-6245
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW00000264
WA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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