Individual
GORDON HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3532
(541) 440-3554
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A13375
OR
Other
Enumeration date
01/16/2018
Last updated
06/30/2025
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