Individual
MR. RICHARD GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12439 SE 26TH AVENUE, MILWAUKIE, OR 97222-8705
(360) 241-6906
Mailing address
3325 N INTERSTATE AVE, PORTLAND, OR 97227-1020
(503) 249-3434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3225
OR
Other
Enumeration date
01/14/2008
Last updated
08/26/2008
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