Miss Tashina Nicole Gordon, CRM, CADC-R is a
Social Worker based in Albany, Oregon. Miss Tashina Nicole Gordon is licensed to practice in * (Not Available) (license number ) and her current practice location is
104 4th Ave Sw, Albany, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 967-3819.
NPI number for Miss Tashina Nicole Gordon is 1487390399 and her current mailing address is Po Box 100, Albany, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487390399.
Healthcare Provider's Profile
| Full Name | Miss Tashina Nicole Gordon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 104 4th Ave Sw, Albany, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1487390399
- Provider Enumeration Date: 05/12/2022
- Last Update Date: 11/21/2023
Medical Identifiers
Medical identifiers for Miss Tashina Nicole Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487390399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Tashina Nicole Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Miss Tashina Nicole Gordon, CRM, CADC-R
Po Box 100,
Albany, OR 97321-0031
Ph: (541) 220-5557 | Miss Tashina Nicole Gordon, CRM, CADC-R
104 4th Ave Sw,
Albany, OR 97321-2804
Ph: (541) 967-3819 |
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