Mary Anna Gordon, DNP, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200740442RN Issued in OR

Practice address

1120 SW 3Rd Ave
4TH Floor Medical
Portland, OR 97204-2828

Phone

(503) 988-5897

Fax

(503) 988-3975

NPI assigned

May 10, 2016

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1780030650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S CENTER ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452938",
            "telephone_number": "503-206-9370",
            "fax_number": "503-988-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SW 3RD AVE",
            "address_2": "4TH FLOOR MEDICAL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042828",
            "telephone_number": "503-988-5897",
            "fax_number": "503-988-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MARY ANNA",
        "name_prefix": "Dr.",
        "credential": "DNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200740442RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lael Stephanie Gordon, MSW
• Lindsay Gordon
• Louise Gordon, MA, LPC, CADCI
• Luke Gordon
• Maeve Gordon, DOT
• Rachel Gordon
• Sarah Joan Gordon, L.I.C.S.W
• Skye Gordon
• Sterling Osborne Gordon, LMT
• Steven G Gordon, MD

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

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