Organization · Type 2 NPI
Brock A Van Gordon Dmd, PC
Sleep Disorder Diagnostic Clinic/Center · Tualatin, OR
NPI number
1063242691
Active
Practice location
6485 SW Borland Rd Ste G
Tualatin, OR 97062-9762
Fax (833) 438-7620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center | 261QD0000X | None listed |
| Sleep Disorder Diagnostic Clinic/Center Primary | 261QS1200X | None listed |
Sleep Disorder Diagnostic Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1063242691
Brock A Van Gordon Dmd, PC's National Provider Identifier is 1063242691, issued on Aug 7, 2024. The primary taxonomy on file is Sleep Disorder Diagnostic Clinic/Center (261QS1200X), and the practice location is in Tualatin, OR. The record was last updated on Jul 11, 2025.