Individual
GORDON J OATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW40000553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980846
—
WA
Enumeration date
04/04/2007
Last updated
07/08/2007
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