Selena Gordon

NPI 1386005726 · on the registry since 2016

Practice

Address: 731 S Lemay Ave
Fort Collins, CO 80524
Phone: (970) 490-1128
Fax: (970) 490-1136
Organisation at this address: Albertsons Llc
1918 Winter Street Operating Co Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-03-13

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 Colorado