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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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