Search › Idaho › 363A00000X
Louissa Gordon, PA-C
NPI 1821484452 · on the registry since 2015
Practice
- Address
- 121 E Fort St
Boise, ID 83712 - Phone
- (208) 514-2525
- Fax
- (208) 375-2217
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-22
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 Idaho