Individual
MARTHA L. GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN IBCLC
Contact information
Practice address
1421 NW 70TH ST, SEATTLE, WA 98117-5340
(206) 781-9871
Mailing address
1421 NW 70TH ST, SEATTLE, WA 98117-5340
(206) 781-9871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0059368
WA
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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