Individual
ANDREW JAMES GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2185 SE 12TH PL, WARRENTON, OR 97146-9311
(503) 861-6240
Mailing address
2185 SE 12TH PL, WARRENTON, OR 97146-9311
(503) 861-6240
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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