Individual provider · Type 1 NPI
Rachael Gordon, PMHNP
Psychiatric/Mental Health Nurse Practitioner · San Jose, CA
NPI number
1306327507
Active
Practice location
6276 San Ignacio Ave Ste A
San Jose, CA 95119-1363
Fax (769) 235-0747
Mailing address
1104 E Jackson St
Medford, OR 97504-7029
Other practice locations
- 204 W 9th St, Medford, OR 97501-3135 · (541) 313-3617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95042892 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202108915NP-PP (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95013365 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1306327507
Rachael Gordon, PMHNP's National Provider Identifier is 1306327507, issued on Aug 24, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Jose, CA. The record was last updated on Sep 10, 2026.