| NPI | 1063242691 |
|---|---|
| Doing Business As | VAN GORDON SLEEP APNEA CLINIC |
| Entity Type | Organization |
| Authorized Contact | BROCK ASHLEY VAN GORDON Owner/ Dentist 503-730-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2025-07-11 |