Individual
DR. DAN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PV01, DEPT. OTOLARYNGOLOGY, OREGON HEALTH & SCIENCE UNIVERSIT, PORTLAND, OR 97239-3098
(503) 494-4654
Mailing address
7315 SW 33RD AVE, PORTLAND, OR 97219-1854
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
FE177542
OR
Other
Enumeration date
01/04/2017
Last updated
01/09/2017
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