Individual
ELIZABETH J GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
12550 SE 93RD AVE STE 250, CLACKAMAS, OR 97015-6787
(503) 654-1153
(503) 654-7693
Mailing address
12550 SE 93RD AVE STE 250, CLACKAMAS, OR 97015-6787
(503) 654-1153
(503) 654-7693
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10029557
OR
Other
Enumeration date
08/13/2024
Last updated
08/22/2024
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