| Jennifer G. Gordon, Ph.d., P.c. | |
|
1639 E 19th Ave Eugene OR 97403-1902 | |
| (541) 338-8033 | |
| (541) 485-3343 |
| Full Name | Jennifer G. Gordon, Ph.d., P.c. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1639 E 19th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Jennifer Gordon (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 5413388033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer G. Gordon, Ph.d., P.c. 1639 E 19th Ave Eugene OR 97403-1902 Ph: (541) 338-8033 | Jennifer G. Gordon, Ph.d., P.c. 1639 E 19th Ave Eugene OR 97403-1902 Ph: (541) 338-8033 |
| NPI Number | 1285898981 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 07/11/2008 |
| Medicare PECOS PAC ID | 7911072780 |
|---|---|
| Medicare Enrollment ID | O20080814000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285898981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1348 (Oregon) | Primary |
| Provider Name | Jennifer G Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932182912 PECOS PAC ID: 5991726333 Enrollment ID: I20051213000403 |
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