| Brock A Van Gordon Dmd, Pc | |
|
6485 Sw Borland Rd Ste G Tualatin OR 97062-9762 | |
| (503) 878-4163 | |
| (833) 438-7620 |
| Full Name | Brock A Van Gordon Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Sleep Disorder Diagnostic |
| Location | 6485 Sw Borland Rd Ste G, Tualatin, Oregon |
| Authorized Official Name and Position | Brock Ashley Van Gordon (OWNER/ DENTIST) |
| Authorized Official Contact | 5037304924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brock A Van Gordon Dmd, Pc 6485 Sw Borland Rd Ste G Tualatin OR 97062-9762 Ph: (503) 878-4163 | Brock A Van Gordon Dmd, Pc 6485 Sw Borland Rd Ste G Tualatin OR 97062-9762 Ph: (503) 878-4163 |
| NPI Number | 1063242691 |
|---|---|
| Provider Enumeration Date | 08/07/2024 |
| Last Update Date | 07/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063242691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Primary |
Jasmine Dental Care Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7955 Sw Mohawk St, Tualatin, OR 97062 Phone: 503-691-2668 | |
Edward D. Lacy, Dmd. Fagd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Sw Warm Springs St, Suite 200, Tualatin, OR 97062 Phone: 503-692-0337 Fax: 503-692-0792 | |
Dentists Of Tualatin Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7552 Sw Nyberg St, Tualatin, OR 97062 Phone: 406-498-0617 | |
Three Rivers Oral And Facial Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd Ste D3, Tualatin, OR 97062 Phone: 503-692-5654 | |
Daniel Petrisor Dmd Md Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd Ste D3, Tualatin, OR 97062 Phone: 214-316-5743 | |
Michael W. Gehlen D.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8555 Sw Tualatin Rd, Tualatin, OR 97062 Phone: 503-692-1450 Fax: 503-352-9395 |