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Individual

DR. WENDY M GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DM, MPH, CPM, LM

Contact information

Practice address
1500 EASTLAKE AVE E, SEATTLE, WA 98102-3707
(206) 407-3397
(206) 316-8322
Mailing address
1500 EASTLAKE AVE E, SEATTLE, WA 98102-3707
(206) 407-3397
(206) 316-8322

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW00000314
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8487332
OR
Enumeration date
10/26/2006
Last updated
09/12/2019
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