Jacob Neal Daine Gordon

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

10056323 Issued in OR

Practice address

11611 NE Ainsworth Cir
Portland, OR 97220-9017

Phone

(503) 257-1732

NPI assigned

Oct 14, 2026

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1497651830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52225 NW OUTBACK LN",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971168183",
            "telephone_number": "971-406-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 NE AINSWORTH CIR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209017",
            "telephone_number": "503-257-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JACOB",
        "middle_name": "NEAL DAINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OR",
            "license": "10056323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gordon, EPDH
• Elizabeth Gordon, L.AC.
• Emilie Gordon, RBT
• Gabriel Gordon, LMT
• Jack Salt Gordon
• Jane S Gordon, MS. CCC-A
• Janeene M Gordon, M.D.
• Jenna Noonan Gordon, OTR/L
• Jesse Gordon, DC
• John Joseph Gordon, DMD

• School Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• School Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.