Gordon, Deborah Lee
Gordon, Deborah Lee is an sole proprietor health care provider with primary practice located at 1607 Siskiyou Blvd , Ashland OR 97520-2400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gordon, Deborah Lee can be contacted via phone (541) 482-8333.Contact Information
Primary practice address
1607 Siskiyou Blvd
Ashland OR 97520-2400
Phone: (541) 482-8333
Fax: (541) 482-8398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD14727 | Oregon |
Profile Details
| NPI number | 1336290881 |
|---|---|
| LBN Legal business name | Gordon, Deborah Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1336290881 | NPPES |
| Oregon | MEDICAID | 182907 |
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