Gordon Spath, CRM, PSS,ORO

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15-CRM-063 Issued in OR

Practice address

5030 Broadway St Apt 14
West Linn, OR 97068-3365

Phone

(503) 317-0572

NPI assigned

Feb 10, 2016

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1124486774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY ST APT 14",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683365",
            "telephone_number": "503-317-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY ST APT 14",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683365",
            "telephone_number": "503-317-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATH",
        "first_name": "GORDON",
        "credential": "CRM, PSS,ORO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "15-CRM-063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emili Henrietta Snider
• Lisa M. Snow, PSYD
• Rose Snyder, ED.M., PSY.D.
• Ariane Soll, PSYD
• Deborah M Solomon, OTR/L
• Julia M Speer, LPC
• Daphne Elizabeth Starling, LMT
• Ataya Jean Steele
• Jessica Steele
• Hannah Stere, PSYD

• Addiction (Substance Use Disorder) Counselor in West Linn, OR
• Providers in West Linn, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.