BRENT M GORDON

PHOENIX, OR
NPI1417318577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-03-16
Last Update Date2018-07-03
Business Address
BRENT M GORDON CADC I
5505 S PACIFIC HWY
PHOENIX, OR 97535
Phone number: 541-326-4905
Mailing Address
BRENT M GORDON CADC I
1003 E MAIN ST STE 104
MEDFORD, OR 97504-7140
Phone number: 541-326-4905