Individual
LAURA GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
9860 SW HALL BLVD STE B, TIGARD, OR 97223-8896
(971) 204-6426
Mailing address
1933 SE ALDER ST, PORTLAND, OR 97214-2724
(860) 810-0181
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A16372
OR
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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