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BRENT M GORDON CADC I
NPI 1417318577
Counselor - Addiction (Substance Use Disorder) in Phoenix, OR

Active since March 16, 2016
5505 S PACIFIC HWY, PHOENIX, OR 97535(541) 326-4905(541) 608-2888 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2018, Mar 16, 2016 (2 updates tracked since 2016).

About Brent M Gordon Cadc I NPPES

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

BRENT M GORDON CADC I (NPI 1417318577) is an individual addiction (substance use disorder) provider in Phoenix, Oregon and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1417318577
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRENT M GORDONCredential: CADC I
Location Address5505 S PACIFIC HWYPhoenix, OR 97535
Mailing Address1003 E Main St Ste 104Medford, OR 97504-7140 · (541) 326-4905 · Fax (541) 608-2888
Phone(541) 326-4905
Fax(541) 608-2888
Sole ProprietorNo
Enumeration DateMarch 16, 2016
Last NPPES UpdateJuly 3, 20182 updates tracked since enumeration
✔ NPI 1417318577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5505 S PACIFIC HWY, Phoenix, OR 97535
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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 Brent Gordon's NPI number?

The NPI number for Brent Gordon is 1417318577. It was assigned to this individual provider in the NPPES registry on March 16, 2016.

Where is Brent Gordon located?

Brent Gordon practices at 5505 S Pacific Hwy, Phoenix, OR 97535. The listed phone number is (541) 326-4905.

What is Brent Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brent Gordon was last updated on July 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.