Mr Silas Kenny Gordon, LPN, AAC is a
Behavior Technician based in Bellingham, Washington. Mr Silas Kenny Gordon is licensed to practice in Washington (license number CG61049487) and his current practice location is
3419 Redwood Ave, Bellingham, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 325-9340.
NPI number for Mr Silas Kenny Gordon is 1104361732 and his current mailing address is 3419 Redwood Ave, Bellingham, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104361732.
Provider's Profile
| Full Name | Mr Silas Kenny Gordon |
|---|
| Gender | Male |
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| Speciality | Behavior Technician |
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| Location | 3419 Redwood Ave, Bellingham, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104361732
- Provider Enumeration Date: 01/05/2017
- Last Update Date: 03/02/2020
Medical Identifiers
Medical identifiers for Mr Silas Kenny Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104361732 | NPI | - | NPPES |
| LP 60623702 | Other | WA | STATE NURSING LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LP60623702 (Washington) | Secondary |
| 106S00000X | Behavior Technician | CG61049487 (Washington) | 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. Mr Silas Kenny 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 |
|---|
Mr Silas Kenny Gordon, LPN, AAC
3419 Redwood Ave,
Bellingham, WA 98225-1139
Ph: (360) 325-9340 | Mr Silas Kenny Gordon, LPN, AAC
3419 Redwood Ave,
Bellingham, WA 98225-1139
Ph: (360) 325-9340 |
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