Individual
STEVEN G GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD STE 204, PORTLAND, OR 97225-6629
(503) 297-1390
(503) 416-8145
Mailing address
9155 SW BARNES RD STE 204, PORTLAND, OR 97225-6629
(503) 297-1390
(503) 416-8145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19920
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081310
—
OR
01
—
MD19920
MD LICENSE #
OR
Enumeration date
11/18/2005
Last updated
07/09/2007
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