Individual
ARIELLE SHOSHANNA GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7809 NE VANCOUVER PLAZA DR STE 110, VANCOUVER, WA 98662-6639
(360) 882-2778
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60784263
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2087089
—
WA
Enumeration date
08/02/2017
Last updated
01/04/2023
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