Individual provider · Type 1 NPI

Chris Reid Gordon

Mental Health Counselor · Eugene, OR

NPI number 1912036633 Active

Practice location

1790 W 11th Ave, Suite 290
Eugene, OR 97402-3758

Fax (541) 626-0359

Mailing address

406 4th St, Apt. 9
Springfield, OR 97477-4672

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1912036633

Chris Reid Gordon's National Provider Identifier is 1912036633, issued on Mar 6, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eugene, OR. The record was last updated on Jul 8, 2007.