Individual
DR. BROCK VAN GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6485 SW BORLAND RD STE G, TUALATIN, OR 97062-9762
(503) 878-4163
(833) 438-7620
Mailing address
6485 SW BORLAND RD STE G, TUALATIN, OR 97062-9762
(503) 730-4924
(833) 438-7620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7947
OR
1223G0001X
General Practice Dentistry
Primary
D7947
OR
Other
Enumeration date
01/16/2007
Last updated
07/14/2025
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