Gordon, Jennifer Catherine

Gordon, Jennifer Catherine is an individual health care provider with primary practice located at 520 Country Club Road , Eugene OR 97401. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Gordon, Jennifer Catherine can be contacted via phone (541) 683-5001.

Contact Information

Primary practice address
520 Country Club Road Eugene OR 97401
Phone: (541) 683-5001
Fax: (541) 431-9860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Washington
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD214260 Oregon
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35.139475 Ohio

Profile Details

NPI number 1417362914
LBN Legal business name Gordon, Jennifer Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Jan 4th, 2024 - about 10 months 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 1417362914 NPPES
Oregon MEDICAID 500825506

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