Brock Van Gordon, D.M.D.

General Practice Dentistry · Tualatin, OR

Individual Active NPI

NPI number 1962554584

Practice location

6485 SW Borland Rd Ste G
Tualatin, OR 97062-9762
Phone
(503) 878-4163
Fax
(833) 438-7620

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NPI record

NPI
1962554584
Entity type
Individual (Type 1)
Enumeration date
January 16, 2007
Last updated
July 14, 2025
Certified
July 14, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D7947 OR
Dentist 122300000X D7947 OR

About Dr. Van Gordon

Brock Van Gordon, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6485 SW Borland Rd Ste G, Tualatin, OR 97062-9762. The NPI number 1962554584 was assigned on January 16, 2007 and the record was last updated on July 14, 2025.

Dr. Van Gordon lists 2 licenses in the registry: #D7947 (OR) for General Practice Dentistry; #D7947 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brock Van Gordon, D.M.D.?

The NPI number is 1962554584.

What is the phone number of Dr. Van Gordon?

The phone number listed for the practice location is (503) 878-4163.

Where is Dr. Van Gordon located?

6485 SW Borland Rd Ste G, Tualatin, OR 97062-9762.

What is the taxonomy code for Dr. Van Gordon?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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