Brock a Van Gordon DMD, PC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

BROCK A VAN GORDON DMD, PC

Doing business as

Van Gordon Sleep Apnea Clinic

Practice address

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

Phone

(503) 878-4163

Fax

(833) 438-7620

NPI assigned

Aug 7, 2024

Last updated

Jul 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brock Ashley Van Gordon, DMDNPI 1962554584

Title

Owner/ Dentist

Phone

(503) 730-4924

Specialties & licenses 2

Addresses

Other names 1

• Van Gordon Sleep Apnea Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brock Van Gordon, D.M.D.

  • General Practice Dentistry
  • Tualatin, OR
  • NPI 1962554584
  Authorized official Same address or phone

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1063242691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD STE G",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629762",
            "telephone_number": "503-878-4163",
            "fax_number": "833-438-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD STE G",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629762",
            "telephone_number": "503-878-4163",
            "fax_number": "833-438-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK A VAN GORDON DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "VAN GORDON",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "503-730-4924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Gordon Sleep Apnea Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Brewer, LPN
• Bridgeport MRI LLC (Clearview MRI Tualatin)
• Tessa Bright, LPC
• Brighton Hospice Oregon, LLC
• Teresa Suzanne Brisbin, MA MFT
• David Brockway
• Eric Ernest Brody, M.D.
• Anton K Broms, MD
• Alex Brown
• Elizabeth Brown, MS, BCBA

• Sleep Disorder Diagnostic Clinic/Center in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Sleep Disorder Diagnostic Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.