SearchWashington374J00000X

Kathryn Gordon, PD, LE

NPI 1124387147 · on the registry since 2012 · sole proprietor

Practice

Address
15746 121st Ave Se
Renton, WA 98058
Phone
(206) 930-8151

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington