Theodore N. Gone

Peer Specialist · Pendleton, OR

Individual Active NPI

NPI number 1942957055

Practice location

46314 Timine Way
Pendleton, OR 97801-9417
Phone
(541) 966-9830

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NPI record

NPI
1942957055
Entity type
Individual (Type 1)
Enumeration date
March 8, 2022
Last updated
March 8, 2022
Certified
March 8, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X THW000106181 OR

Mailing address

PO Box 160
Pendleton, OR 97801-0160
Phone
(541) 966-9830

About Theodore Gone

Theodore N. Gone is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 46314 Timine Way, Pendleton, OR 97801-9417. The NPI number 1942957055 was assigned on March 8, 2022 and the record was last updated on March 8, 2022.

Theodore Gone lists a license in the registry: #THW000106181 (OR) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Theodore N. Gone?

The NPI number is 1942957055.

What is the phone number of Theodore Gone?

The phone number listed for the practice location is (541) 966-9830.

Where is Theodore Gone located?

46314 Timine Way, Pendleton, OR 97801-9417.

What is the taxonomy code for Theodore Gone?

The primary taxonomy code is 175T00000X – Peer Specialist.

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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