AMANDA GORDON (NPI# 1053968883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053968883 |
| Entity Type | Individual |
| Full Name | AMANDA GORDON |
| Practice Address |
322 Anton Ct Eugene OR 97402-2410 |
| Practice Telephone | 4582057741 |
| Practice Fax Number | 5416077456 |
| Mailing Telephone | 4582057741 |
| Mailing Fax Number | 5416077456 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
OR | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071363 | Amanda Gordon | Counselor | 56 Parmenter Ln, North Attleboro, MA 02760-1309 | 2020-07-28 |
| 1649749466 | Amanda Gordon | Family Medicine | 598 N Union Ave Ste 350, New Braunfels, TX 78130-4196 | 2018-11-21 |
| 1376934265 | Amanda Joy Gordon | Counselor | 10200 W 44th Ave Ste 101, Wheat Ridge, CO 80033-2838 | 2015-02-12 |
| 1518178565 | Amanda Gordon | Physical Therapist | 14606 Rainbow Ave, Cleveland, OH 44111-2221 | 2007-05-24 |
| 1336765973 | Amanda R Gordon | Student in an Organized Health Care Education/Training Program | 121 Dekalb Avenue, Brooklyn, NY 11201 | 2020-06-19 |
| 1194367565 | Amanda Gordon | Pharmacist | 2100 N Bechtle Ave, Springfield, OH 45504-1575 | 2019-10-17 |
| 1043705031 | Amanda Gordon | Nurse Practitioner | 315 Medical Park Dr, Ste 202, Concord, NC 28025-1902 | 2018-06-22 |
| 1528569704 | Amanda Jean Gordon | Occupational Therapist | 44300 Dequindre Rd, Sterling Heights, MI 48314-1003 | 2018-02-23 |
| 1780103143 | Amanda B Gordon | Nurse Practitioner | 1718 Catlin Dr, Barnhart, MO 63012-1277 | 2017-09-15 |
| 1558710467 | Amanda Marie Gordon | Behavioral Analyst | 5595 Equity Ave Ste 400, Reno, NV 89502-2396 | 2016-06-10 |
| Street Address |
322 ANTON CT |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575388 | Sierra N Thomas | Technician | 3827 Pine St Se, Albany, OR 97322-6161 | 2020-10-14 |
| 1275157190 | Camille R Hernandez | Technician | 1940 Sw Forest Ridge Ave, Bend, OR 97702-1917 | 2020-06-05 |
| 1790308567 | Christina Marie La Fon | Technician | 2280 Ne Cherry Loop, Prineville, OR 97754-9328 | 2020-05-27 |
| 1033738109 | Irene Sanae Higashi-breshears | Technician | 1000 Ne 10th Ave, Canby, OR 97013-3207 | 2020-04-09 |
| 1841822996 | Beverley Ann Service | Technician | 2355 Morrow Ct Nw, Salem, OR 97304-1763 | 2020-02-06 |
| 1669019444 | Rebecca Baxter | Technician | 300 Boulder Falls Dr Apt E117, Lebanon, OR 97355-2882 | 2019-11-29 |
| 1477199537 | Shane A Marx | Technician | 6200 Poplar Ln, Independence, OR 97351-9659 | 2019-11-25 |
| 1114563459 | Cecilia Dwigans | Technician | 485 Colonial Ct, Tillamook, OR 97141-6100 | 2019-11-21 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1396389714 | Linda Lee Parker | Technician | 468 Palmer Dr N, Keizer, OR 97303-7424 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.