| Brent M Gordon, CADC I | |
|
5505 S Pacific Hwy, Phoenix, OR 97535 | |
| (541) 326-4905 | |
| (541) 608-2888 |
| Full Name | Brent M Gordon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5505 S Pacific Hwy, Phoenix, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417318577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brent M Gordon, CADC I 1003 E Main St Ste 104, Medford, OR 97504-7140 Ph: (541) 326-4905 | Brent M Gordon, CADC I 5505 S Pacific Hwy, Phoenix, OR 97535 Ph: (541) 326-4905 |
Taylor May York, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 S Main St, Phoenix, OR 97535 Phone: 541-535-4133 | |
Rikki Lynne Snowden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 S Main St, Phoenix, OR 97535 Phone: 541-535-4133 Fax: 541-535-5458 | |
Diane L Stamper, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Meadow View Dr, Phoenix, OR 97535 Phone: 541-261-5440 | |
Jona Ray Dodd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 S. Main Street, Po Box 1257, Phoenix, OR 97535 Phone: 541-535-4133 | |
Desiree Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 N Main St, Phoenix, OR 97535 Phone: 541-535-4133 | |
Mr. Richard Lee Mcfarland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 S Main St, Phoenix, OR 97535 Phone: 541-535-4133 | |
Jonathan Sandoval, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 S Main St, Phoenix, OR 97535 Phone: 541-535-4133 |