Individual provider · Type 1 NPI

Gordon Lewis Bordeaux

Addiction (Substance Use Disorder) Counselor · Omak, WA

NPI number 1285804328 Active

Practice location

1007 Koala Ave
Omak, WA 98841-9247

Fax (509) 826-8416

Mailing address

1007 Koala Drive
Omak, WA 98841

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00003406 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1285804328

Gordon Lewis Bordeaux's National Provider Identifier is 1285804328, issued on Mar 5, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Omak, WA. The record was last updated on Mar 5, 2008.