Individual
JOHN L. GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4294
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A83652
CA
208800000X
Urology Physician
Primary
MD60091579
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A836520
—
CA
Enumeration date
04/03/2007
Last updated
08/12/2009
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