Individual
GORDON S NAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD00030572
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039577
LABOR & INDUSTRY
WA
05
—
8152472
—
WA
01
—
NA0047
BLUE SHIELD
WA
01
—
US0899730
AETNA/USHC PCP
WA
Enumeration date
07/14/2006
Last updated
06/17/2008
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