person
Brent M Gordon, CADCI
Addiction (Substance Use Disorder) Counselor in Phoenix, Oregon
NPI 1417318577

Brent M Gordon is an Addiction (Substance Use Disorder) Counselor based in Medford, OR and is specialized in Addiction (Substance Use Disorder). Brent M Gordon practices in Phoenix, OR and has the professional credentials of CADCI. The NPI Number for Brent M Gordon is 1417318577 and holds a License No. (Oregon).

The current practice location address for Brent M Gordon is 5505 S Pacific Hwy, Phoenix, OR and can be reached out via phone at 541-326-4905 and via fax at 541-608-2888.

Location: 5505 S Pacific Hwy, Phoenix, OR, 97504-7140
person
Provider Profile Details
NPI Number
1417318577
Provider Name
Brent M Gordon
Credential
CADCI
Provider Entity Type
Individual
Gender
Male
Address
5505 S Pacific Hwy, Phoenix, OR, 97504-7140
Phone Number
541-326-4905
Fax Number
541-608-2888
Provider Enumeration Date
03/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5505 S Pacific Hwy
City
State
Zip
97535
Phone Number
541-326-4905
Fax Number
541-608-2888
person
Provider Business Mailing Address Details
Address
5505 S Pacific Hwy
City
State
Zip
97535
Phone Number
541-326-4905
Fax Number
541-608-2888
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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