Gordon, Wendy M

Gordon, Wendy M is an individual health care provider with primary practice located at 1500 Eastlake Ave E , Seattle WA 98102-3707. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Gordon, Wendy M can be contacted via phone (206) 407-3397.

Contact Information

Primary practice address
1500 Eastlake Ave E Seattle WA 98102-3707
Fax: (206) 316-8322
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MW00000314 Washington

Profile Details

NPI number 1720163611
LBN Legal business name Gordon, Wendy M
Credentials DM, MPH, CPM, LM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Sep 12th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720163611 NPPES
Oregon MEDICAID 8487332

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