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Individual

MS. IGNACIA ALEX GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11801 NE 65TH ST # A, VANCOUVER, WA 98662-5527
(360) 558-5790
(360) 558-5791
Mailing address
11801 NE 65TH ST # A, VANCOUVER, WA 98662-5527
(360) 558-5790
(360) 558-5791

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60568892
WA

Other

Enumeration date
03/27/2019
Last updated
03/27/2019
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