Gordon, Janelle
Gordon, Janelle is an individual health care provider with primary practice located at 5955 Shoreview Ln N Suite 100, Keizer OR 97303-3981. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gordon, Janelle can be contacted via phone (503) 463-4221.Contact Information
Primary practice address
5955 Shoreview Ln N Suite 100
Keizer OR 97303-3981
Phone: (503) 463-4221
Fax: (503) 463-4522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6280 | Oregon |
Profile Details
| NPI number | 1225346570 |
|---|---|
| LBN Legal business name | Gordon, Janelle |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2010 |
| Last updated | Feb 1st, 2012 - about 13 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 | 1225346570 | NPPES |
| Oregon | Other | P00991058 | RR MEDICARE |
| Oregon | MEDICAID | 500630480 | RR MEDICARE |
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