Individual
AMANDA MITZIE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 1ST AVE APT 908, SEATTLE, WA 98101-2139
(772) 924-6021
Mailing address
1301 1ST AVE APT 908, SEATTLE, WA 98101-2139
(772) 924-6021
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61079412
WA
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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