Individual
JANEENE M GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9155 SW BARNES RD STE 840, PORTLAND, OR 97225-6635
(503) 296-7800
Mailing address
204 NE 78TH AVE, PORTLAND, OR 97213-6337
(240) 475-3593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD195320
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500847761
—
OR
Enumeration date
03/27/2006
Last updated
01/02/2025
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