Individual
JANET I GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7017 NE HWY 99, SUITE 201, VANCOUVER, WA 98665
(360) 694-0760
(360) 694-1091
Mailing address
7017 NE HIGHWAY 99, SUITE 202, VANCOUVER, WA 98665-0555
(360) 694-0760
(360) 694-1091
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0017326
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0615108
ALL OTHER INS
WA
05
—
1025675
—
WA
01
—
83020001
SECURE HOR PACIFICARE
WA
Enumeration date
04/06/2006
Last updated
07/10/2008
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