Individual
DR. JENNIFER GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1639 E 19TH AVE, EUGENE, OR 97403-1902
(541) 338-8033
Mailing address
1639 E 19TH AVE, EUGENE, OR 97403-1902
(541) 338-8033
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1368
OR
Other
Enumeration date
11/23/2005
Last updated
10/17/2012
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