Individual
COURTNEY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3333 CALIFORNIA ST, SUITE 380, SAN FRANCISCO, CA 94118-1981
(415) 502-8885
(415) 514-0702
Mailing address
3333 CALIFORNIA ST, SUITE 380, SAN FRANCISCO, CA 94118-1981
(415) 502-8885
(415) 514-0702
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
20427
CA
363LG0600X
Gerontology Nurse Practitioner
COA.10651-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2941231
—
OH
Enumeration date
03/19/2009
Last updated
12/19/2016
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