Individual
GORDON SPATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM, PSS,ORO
Contact information
Practice address
5030 BROADWAY ST APT 14, WEST LINN, OR 97068-3365
(503) 317-0572
Mailing address
5030 BROADWAY ST APT 14, WEST LINN, OR 97068-3365
(503) 317-0572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-CRM-063
OR
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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