Ignacia Alex Gordon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CG60568892 Issued in WA

Practice address

11801 NE 65TH St # a
Vancouver, WA 98662-5527

Phone

(360) 558-5790

Fax

(360) 558-5791

NPI assigned

Mar 27, 2019

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

State licenses

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1922569409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 NE 65TH ST # A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625527",
            "telephone_number": "360-558-5790",
            "fax_number": "360-558-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 NE 65TH ST # A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625527",
            "telephone_number": "360-558-5790",
            "fax_number": "360-558-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "IGNACIA",
        "middle_name": "ALEX",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CG60568892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Joshua Goodwin, M.D.
• Teri Goodwin, RN
• Craig Goold
• Bellamy Goosey, CBT
• Arielle Shoshanna Gordon, FNP
• Janet I Gordon, MD
• Kimberly Gordon
• Daniel M Gorecki, MD
• William J Goritski, M.D.
• Elizabeth Shannon Gorman

• Case Manager/Care Coordinator in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.