Van Gordon, Brock
Van Gordon, Brock is an sole proprietor health care provider with primary practice located at 30045 Sw Parkway Ave , Wilsonville OR 97070-9735. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Van Gordon, Brock can be contacted via phone (503) 682-2455.Contact Information
Primary practice address
30045 Sw Parkway Ave
Wilsonville OR 97070-9735
Phone: (503) 682-2455
Fax: (503) 570-8852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D7947 | Oregon |
Profile Details
| NPI number | 1962554584 |
|---|---|
| LBN Legal business name | Van Gordon, Brock |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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