Raylene Lorraine Gordin, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD19742 Issued in OR

Practice address

1296 Commercial St. SE
Suite 103
Salem, OR 97302-4200

Phone

(503) 580-0761

Fax

(503) 213-5948

NPI assigned

Nov 16, 2006

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth M. Wilson, M.D., P.C.

  dba Hand Surgery of Oregon

  • Specialist
  • Salem, OR
  • NPI 1245662410
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1033282181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37686 KATHLEEN CT",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973558832",
            "telephone_number": "503-580-0761",
            "fax_number": "503-213-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 COMMERCIAL ST. SE",
            "address_2": "SUITE 103",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024200",
            "telephone_number": "503-580-0761",
            "fax_number": "503-213-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDIN",
        "first_name": "RAYLENE",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD19742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Good, RN
• Dana Goodale, MSW, QMHA
• Michael E Goodenberger, MD
• Lora Wilson Goodenough, LMFT
• Dianna Lynn Goolsby, RN
• Gordon a Miller MD PC (Willamette Valley EyeCenter)
• Gordon a Miller, MD (Willamette Valley Eye SurgiCenter)
• Corrie Lynn Gordon, LCSW
• Jamila Enirisha Gordon
• Jerome S Gordon, PH.D.

• Orthopaedic Surgery Physician in Salem, OR
• Providers in Salem, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.