LISA GORDON

Peer Specialist

Active Individual
NPI: 1508453143

Practice Address

402 S 4TH AVE
Yakima, WA 98902

Phone: (509) 575-4084

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1508453143 is the National Provider Identifier for LISA GORDON, a Peer Specialist provider located in Yakima, WA. This NPI was enumerated on December 29, 2020.
LISA GORDON practices at 402 S 4TH AVE, Yakima, WA 98902.

Quick Facts

NPI
1508453143
Type
Individual
Enumerated
Dec 29, 2020
Last Updated
Dec 29, 2020

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