GORDON RAY WASHINGTON PA
NPI 1205990504
Physician Assistant - Medical in Cp Red Cloud, REPUBLIC OF KOREA

Active since December 20, 2006
HHSC STB, UNIT #15110, CP RED CLOUD, REPUBLIC OF KOREA APO A(315) 732-7379 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gordon Ray Washington Pa NPPES

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

GORDON RAY WASHINGTON PA (NPI 1205990504) is an individual medical provider in Cp Red Cloud, REPUBLIC OF KOREA, licensed in Colorado (1034659) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1205990504
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGORDON RAY WASHINGTONCredential: PA
Location AddressHHSC STB, UNIT #15110Cp Red Cloud, REPUBLIC OF KOREA 96258
Mailing Address723 Daffodil StFountain, CO 80817-4174 · (719) 339-0767
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205990504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · 1034659
HHSC STB, Cp Red Cloud, REPUBLIC OF KOREA 96258

Other Names 1

Professional Name (2)Gordon Ray Washington Pa

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 Gordon Washington's NPI number?

The NPI number for Gordon Washington is 1205990504. It was assigned to this individual provider in the NPPES registry on December 20, 2006. The provider is also known as Gordon Ray Washington PA.

Where is Gordon Washington located?

Gordon Washington practices at Hhsc Stb Unit #15110, Cp Red Cloud, REPUBLIC OF KOREA APO A. The listed phone number is (315) 732-7379.

What is Gordon Washington's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gordon Washington was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.