SearchIndiana106S00000X

Cimone Gordon

NPI 1518825322 · on the registry since 2026 · sole proprietor

Practice

Address
6203 Oglethorpe Ave
Portage, IN 46368
Phone
(219) 380-9191

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-12

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 Indiana