Individual
LUKE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 NE 20TH AVE STE 140, PORTLAND, OR 97232-2275
(541) 514-7593
Mailing address
825 NE 20TH AVE STE 140, PORTLAND, OR 97232-2275
(541) 514-7593
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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