Individual
MRS. JANE S GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. CCC-A
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, NCRAR, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 273-5309
Mailing address
3710 SW US VETERANS HOSPITAL RD, NCRAR, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 273-5309
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22092
OR
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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