Gordon, Miranda J

Gordon, Miranda J is an individual health care provider with primary practice located at 800 West Maple Street , Medical Lake WA 99022-0800. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Gordon, Miranda J can be contacted via phone (509) 299-3121.

Contact Information

Primary practice address
800 West Maple Street Medical Lake WA 99022-0800
Fax: (509) 299-7015
Website:

Health care specialties

Profile Details

NPI number 1275793671
LBN Legal business name Gordon, Miranda J
Credentials OTR L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 16 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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