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
Phone: (509) 299-3121
Fax: (509) 299-7015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00003212 | Washington |
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 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.
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