Individual
GABRIEL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1235 SE DIVISION ST STE 302, PORTLAND, OR 97202-1056
(971) 328-1689
Mailing address
6303 SE HARRISON ST, PORTLAND, OR 97215-3447
(971) 570-2228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023149
OR
Other
Enumeration date
07/14/2017
Last updated
10/15/2019
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