Johnathan Paul Gordon

Social Worker · Pryor, OK

Individual Active NPI

NPI number 1760965388

Practice location

109 N Fairland St
Pryor, OK 74361-4203
Phone
(918) 825-1405
Fax
(918) 876-3436

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NPI record

NPI
1760965388
Entity type
Individual (Type 1)
Enumeration date
September 10, 2018
Last updated
November 13, 2020
Certified
November 13, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X 6386 OK

About Johnathan Gordon

Johnathan Paul Gordon is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 109 N Fairland St, Pryor, OK 74361-4203. The NPI number 1760965388 was assigned on September 10, 2018 and the record was last updated on November 13, 2020.

Johnathan Gordon lists a license in the registry: #6386 (OK) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Johnathan Paul Gordon?

The NPI number is 1760965388.

What is the phone number of Johnathan Gordon?

The phone number listed for the practice location is (918) 825-1405.

Where is Johnathan Gordon located?

109 N Fairland St, Pryor, OK 74361-4203.

What is the taxonomy code for Johnathan Gordon?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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