Individual provider · Type 1 NPI

Brent M. Gordon, CADC I

Addiction (Substance Use Disorder) Counselor · Phoenix, OR

NPI number 1417318577 Active

Practice location

5505 S Pacific Hwy
Phoenix, OR 97535

Call (541) 326-4905 Map

Fax (541) 608-2888

Mailing address

1003 E Main St Ste 104
Medford, OR 97504-7140

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

Other addiction (substance use disorder) counselor providers in Phoenix

See all in Phoenix →

About NPI 1417318577

Brent M. Gordon, CADC I's National Provider Identifier is 1417318577, issued on Mar 16, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, OR. The record was last updated on Jul 3, 2018.