SANDRA S GORDON (NPI# 1346363959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346363959 |
| Entity Type | Individual |
| Full Name | SANDRA S GORDON |
| Credential | CADC II |
| Practice Address |
107 Se Swan Siletz OR 97380 |
| Mailing Address |
Po Box 320 Siletz OR 97380-0320 |
| Practice Telephone | 5414441030 |
| Practice Fax Number | 5414449695 |
| Mailing Telephone | 5414441030 |
| Mailing Fax Number | 5414449695 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
95R12 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328106 | Sandra J Gordon | Speech-Language Pathologist | 25 Ty Ln, Penacook, NH 03303-1049 | 2020-08-28 |
| 1699007559 | Sandra Gordon | Chiropractor | 21 Crystal St, East Stroudsburg, PA 18301-2809 | 2010-02-03 |
| 1629076286 | Sandra Patton Gordon | Social Worker | 1013 Mumma Rd, Suite 302, Wormleysburg, PA 17043-1144 | 2005-07-08 |
| 1972042885 | Sandra L Gordon | Registered Nurse | 607 E Apache St, Farmington, NM 87401-6925 | 2017-02-13 |
| 1891142675 | Sandra Gordon | Behavioral Analyst | 1623 Kings Hwy, Brooklyn, NY 11229-1209 | 2016-05-20 |
| 1982031159 | Sandra Shepherd Gordon | Physician Assistant | 21 Audubon Ave., Columbia Department of Surgery, New York, NY 10032 | 2013-10-03 |
| 1891002721 | Sandra R Gordon | Counselor | 3737 Lander Rd, Pepper Pike, OH 44124-5712 | 2010-09-14 |
| 1790961993 | Sandra Butterworth Gordon | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2008-01-17 |
| 1548398423 | Sandra Gordon | Physical Therapist | 664 Stoneleigh Ave, Suite 3, Carmel, NY 10512-3940 | 2007-03-01 |
| Street Address |
107 SE SWAN |
| City | SILETZ |
| State | OR |
| Zip Code | 97380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023131646 | Conrad M Douma Jr. | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| 1477747095 | Molly M Francis | Dentist | 107 Se Swan, Siletz, OR 97380 | 2007-08-28 |
| 1477676088 | Janet Wicklund | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| 1396868923 | Allen K Nelson | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740408525 | Mary Ellen Volansky | Dental Hygienist | 107 Se Swan Avenue, Ctsi Dental Clinic, Siletz, OR 97380 | 2007-04-24 |
| 1790888097 | Beverley E Phillipson | Internal Medicine | 107 Se Swan Ave, Siletz, OR 97380 | 2006-09-06 |
| 1952403990 | Lisa D Taylor | Registered Nurse | 200 Gwee-shut Road, Siletz, OR 97380 | 2006-09-01 |
| 1083966329 | Lorene Stanger | Optometrist | 200 Gwee-shut Rd, Optometry, Siletz, OR 97380 | 2012-10-10 |
| 1427345826 | Delina Lynn John | Counselor | 200 Gwee-shut Road, Siletz, OR 97380 | 2011-07-06 |
| 1508196718 | Timothy W. Henkels | Nurse Practitioner | 200 Gwee Shut Road, Siletz, OR 97380 | 2010-01-11 |
| 1033324264 | James Peirce Haeg | Family Medicine | 107 Se Swan Ave, Siletz, OR 97380 | 2007-05-11 |
| 1891822003 | Confederated Tribes of Siletz | Durable Medical Equipment & Medical Supplies | 200 Gwee-shut Road, Siletz, OR 97380 | 2007-02-27 |
| 1902971823 | George E Nagel | Social Worker | 200 Gwee-shut Road, Siletz, OR 97380 | 2006-11-24 |
| 1811062730 | Michael A Knight | Pharmacist | 200 Gwee-shut Road, Siletz, OR 97380 | 2006-11-24 |
| Find all providers in zip 97380 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023131646 | Conrad M Douma Jr. | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| 1396351920 | Dee Butler | Counselor | 200 Gwee Shut Rd, Siletz, OR 97380-2036 | 2020-09-18 |
| 1518456060 | Ashliegh Victoria Ramirez | Counselor | 200 Gwee Shut Rd, Siletz, OR 97380-2036 | 2018-05-09 |
| 1083123681 | Danielle Shaunte Payne | Counselor | 200 Gwee Shut Rd, Siletz, OR 97380-2036 | 2017-09-26 |
| 1942558465 | Zebuli Lawrance Payne | Counselor | 200 Gwee-shut Rd, Siletz, OR 97380-2036 | 2012-08-15 |
| 1427345826 | Delina Lynn John | Counselor | 200 Gwee-shut Road, Siletz, OR 97380 | 2011-07-06 |
| 1477676088 | Janet Wicklund | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| 1396868923 | Allen K Nelson | Counselor | 107 Se Swan, Siletz, OR 97380 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275950 | Amy Bailey | Counselor | 401 Marion Ln, Grants Pass, OR 97527-5570 | 2020-11-03 |
| 1134736168 | Melissa Thi Lu | Counselor | 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 | 2020-09-24 |
| 1841805959 | Korben J Chesnut-petry | Counselor | 1325 Commercial St Se, Salem, OR 97302-4205 | 2020-09-15 |
| 1013522663 | Red Is The Road To Wellness (rrw) | Counselor | 3206 Onyx Ave, Klamath Falls, OR 97603-7279 | 2020-09-10 |
| 1477163657 | Kevin Charles Reiser | Counselor | 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 | 2020-08-03 |
| 1881203628 | Beau Curtiss | Counselor | 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 | 2020-07-28 |
| 1598383846 | Jorge Montejano | Counselor | 223 Commercial St Ne, Salem, OR 97301-3411 | 2020-07-13 |
| 1821615832 | Cynthia Machelle Gonzalez | Counselor | 925 Avenue S Unit 1, Seaside, OR 97138-7780 | 2020-06-25 |
| 1720603335 | Benetta Vincent | Counselor | 3194 Se Tumblestone Dr, Hillsboro, OR 97123-7966 | 2020-06-09 |
| 1669092201 | Exodus Recovery Services LLC. | Counselor | 230 N 3rd St Ste 105, Harrisburg, OR 97446-9679 | 2020-04-23 |
| 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.