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GORDON A MATLOCK MD
NPI 1952343543
Specialist in Longview, WA

Active since June 11, 2006
1615 DELAWARE ST, SUITE 100, LONGVIEW, WA 98632(360) 577-6628 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gordon A Matlock Md NPPES

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

GORDON A MATLOCK MD (NPI 1952343543) is an individual specialist in Longview, Washington, licensed in Washington (MD00017271) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1952343543
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGORDON A MATLOCKCredential: MD
Location Address1615 DELAWARE ST, SUITE 100Longview, WA 98632-2310
Mailing AddressPo Box 2400Longview, WA 98632-8461 · (360) 577-6628
Phone(360) 577-6628
Sole ProprietorYes
Enumeration DateJune 11, 2006
Last NPPES UpdateMay 3, 2012
✔ NPI 1952343543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00017271
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1615 DELAWARE ST, Longview, WA 98632
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Other Identifiers 3

Medicare ID-Type Unspecified000700093
Medicare UPINA08196
Medicaid1540608WA

Other Providers at the Same Location NPPES 20

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

CHOONG R KIM M.D.
Radiology (Radiation Oncology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 636-4841
DR. STEVEN ROBERT SPENCE JR. DNP, ARNP, FNP-BC
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 816-5706
ALEXANDER SHAR MD
Internal Medicine (Hematology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-7878
PETER J LEYZAC CRNA
Nurse Anesthetist, Certified Registered
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2000
CHRISTINE WILSON PHARMD
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2000
HOLLY WELLS FNP-BC
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2385
DR. KARA RUZICKA PHARMD
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 636-4808
DONNA K LYNDS ARNP-C
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2000

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 Matlock's NPI number?

The NPI number for Gordon Matlock is 1952343543. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Gordon Matlock located?

Gordon Matlock practices at 1615 Delaware St Suite 100, Longview, WA 98632. The listed phone number is (360) 577-6628.

What is Gordon Matlock's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gordon Matlock was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.