BROCK A VAN GORDON DMD, PC
NPI 1063242691
Clinic/Center - Sleep Disorder Diagnostic in Tualatin, OR

Active since August 07, 2024
6485 SW BORLAND RD STE G, TUALATIN, OR 97062(503) 878-4163(833) 438-7620 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2025, Aug 12, 2024, Aug 7, 2024 (3 updates tracked since 2024).

About Brock A Van Gordon Dmd, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROCK A VAN GORDON DMD, PC (NPI 1063242691), doing business as Van Gordon Sleep Apnea Clinic, is a healthcare organization registered as a sleep disorder diagnostic in Tualatin, Oregon and active in the NPI registry since August 2024. The organization lists Brock Ashley Van Gordon, Owner/ Dentist, as its authorized official.

NPPES Registry Identity

NPI1063242691
Entity TypeOrganization
Primary Taxonomy261QS1200X
Legal Business NameBROCK A VAN GORDON DMD, PC
Location Address6485 SW BORLAND RD STE GTualatin, OR 97062-9762
Mailing Address6485 Sw Borland Rd Ste GTualatin, OR 97062-9762 · (503) 878-4163 · Fax (833) 438-7620
Fax(833) 438-7620
Organization SubpartNo
Authorized OfficialBrock Ashley Van GordonOwner/ Dentist · (503) 730-4924
Enumeration DateAugust 7, 2024
Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
NPI 1063242691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Sleep Disorder DiagnosticAmbulatory Health Care Facilities
Taxonomy Code261QS1200X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
6485 SW BORLAND RD STE G, Tualatin, OR 97062

Other Names 1

Doing Business AsVan Gordon Sleep Apnea Clinic

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
6485 SW BORLAND RD STE G
TUALATIN, OR 97062
Massage Therapist
6485 SW BORLAND RD STE G
TUALATIN, OR 97062
Dentist (General Practice)
6485 SW BORLAND RD STE G
TUALATIN, OR 97062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brock A Van Gordon Dmd, PC's NPI number?

The NPI number for Brock A Van Gordon Dmd, PC is 1063242691. It was assigned to this organization in the NPPES registry on August 7, 2024. The provider is doing business as Van Gordon Sleep Apnea Clinic.

Where is Brock A Van Gordon Dmd, PC located?

Brock A Van Gordon Dmd, PC is located at 6485 SW Borland Rd Ste G, Tualatin, OR 97062. The listed phone number is (503) 878-4163.

What is Brock A Van Gordon Dmd, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Sleep Disorder Diagnostic, with taxonomy code 261QS1200X.

When was this NPI record last updated?

The NPPES record for Brock A Van Gordon Dmd, PC was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.