MEDICARE: SKYE GORDON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		OR

General Provider Information

NPI Number	:	1659213114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKYE GORDON

Provider Business Mailing Address
First Line	:	811 SE SHERMAN ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-4666
Country	:	US
Telephone Number	:	971-229-9527
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 SE SHERMAN ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-4666
Country	:	US
Telephone Number	:	971-229-9527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

Similar Medicare Providers

1588276364 — CLIMB BEHAVIORAL SOLUTIONS, LLC
Practice Location Address:

809B SE SHERMAN ST
PORTLAND, OR
97214-4666

Practice Phone: 864-621-7408
Practice Fax: 503-802-5351

1790577260 — JOVITA MARIA BALDERAS
Practice Location Address:

811 SE SHERMAN ST
PORTLAND, OR
97214-4666

Practice Phone: 971-225-9527
Practice Fax:

1225820798 — SARA MUTAHAR RBT
Practice Location Address:

809 SE SHERMAN ST STE B
PORTLAND, OR
97214-4666

Practice Phone: 864-621-7408
Practice Fax:

1568254092 — ANNA RAMIREZ
Practice Location Address:

815 SE SHERMAN ST
PORTLAND, OR
97214-4666

Practice Phone: 971-229-9527
Practice Fax:

1477345908 — ERICA ZAKOTYANSKY
Practice Location Address:

815 SE SHERMAN ST
PORTLAND, OR
97214-4666

Practice Phone: 971-229-9527
Practice Fax:

1679365118 — DIANA MARTINEZ
Practice Location Address:

811 SE SHERMAN ST
PORTLAND, OR
97214-4666

Practice Phone: 971-229-9527
Practice Fax:

Directions to “ SKYE GORDON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.