Individual provider · Type 1 NPI

Brock Van Gordon, DMD

General Practice Dentistry · Tualatin, OR

NPI number 1962554584 Active

About NPI 1962554584

Brock Van Gordon, DMD's National Provider Identifier is 1962554584, issued on Jan 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tualatin, OR. The record was last updated on Jul 14, 2025.