Alexander Leonard Gordon, REGISTERED NURSE is a
Counselor - Mental Health based in Freedom, California. Alexander Leonard Gordon is licensed to practice in * (Not Available) (license number ) and his current practice location is
2716 Freedom Blvd, Freedom, California. He can be reached at his office (for appointments etc.) via phone at
(831) 688-6293.
NPI number for Alexander Leonard Gordon is 1568836153 and his current mailing address is 4101 Ne Division St, Gresham, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568836153.
Provider's Profile
Full Name | Alexander Leonard Gordon |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 2716 Freedom Blvd, Freedom, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568836153
- Provider Enumeration Date: 11/19/2015
- Last Update Date: 05/24/2023
Medical Identifiers
Medical identifiers for Alexander Leonard Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568836153 | NPI | - | NPPES |
ZZZ91892Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 202206489RN (Oregon) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexander Leonard Gordon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexander Leonard Gordon, REGISTERED NURSE 4101 Ne Division St, Gresham, OR 97030-4617 Ph: (503) 666-6575 | Alexander Leonard Gordon, REGISTERED NURSE 2716 Freedom Blvd, Freedom, CA 95019 Ph: (831) 688-6293 |
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