Gorden, Jed A

Gorden, Jed A is an individual health care provider with primary practice located at 515 Minor Ave Suite 300, Seattle WA 98104-2120. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gorden, Jed A can be contacted via phone (206) 386-9500.

Contact Information

Primary practice address
515 Minor Ave Suite 300 Seattle WA 98104-2120
Phone: (206) 386-9500
Fax: (206) 386-9605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00037794 Washington
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD00037794 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD00037794 Washington

Profile Details

NPI number 1275630147
LBN Legal business name Gorden, Jed A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275630147 NPPES
Washington Other P00442327 PALMETTO RR MEDICARE
Washington Other 214344 PALMETTO RR MEDICARE
Washington Other 5891740001 PALMETTO RR MEDICARE
Washington MEDICAID 8274169 PALMETTO RR MEDICARE
Washington Other 8703GO PALMETTO RR MEDICARE

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