DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PAULA M GORMON CDP

MEDICARE: PAULA M GORMON CDP
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCP00004731WA

General Provider Information

NPI Number : 1699844241
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA M GORMON CDP
Provider Business Mailing Address
First Line : 398 CORBETT CREEK RD
Second Line :
City : COLVILLE
State : WA
Zip : 99114-9668
Country : US
Telephone Number : 509-685-1354
Fax Number :
Provider Business Practice Location Address
First Line : 165 E HAWTHORNE AVE
Second Line :
City : COLVILLE
State : WA
Zip : 99114-2629
Country : US
Telephone Number : 509-685-0656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1013862333 — SAWYER J. C. HUGHES
Practice Location Address:
165 E HAWTHORNE AVE
COLVILLE, WA
99114-2629
Practice Phone: 509-684-4597
Practice Fax:
1326504291 — LEANNE K SHOEMAKER
Practice Location Address:
165 E HAWTHORNE AVE
COLVILLE, WA
99114-2629
Practice Phone: 509-684-4597
Practice Fax: 509-684-5286
1891792966 — STEVENS COUNTY
Practice Location Address:
165 E HAWTHORNE AVE
COLVILLE, WA
99114-2629
Practice Phone: 509-684-4597
Practice Fax: 509-684-5286
1952470973 — MARY M SHOVELL RC
Practice Location Address:
165 E HAWTHORNE AVE
COLVILLE, WA
99114-2629
Practice Phone: 509-684-4597
Practice Fax:
1861561367 — JOHN M LAKE MSW, LISW
Practice Location Address:
165 E HAWTHORNE AVE
COLVILLE, WA
99114-2629
Practice Phone: 509-684-6172
Practice Fax:
1538238191 — MARY L HAGSTROM CDP
Practice Location Address:
165 E HAWTHORNE AVE
COLVILLE, WA
99114-2629
Practice Phone: 509-684-4597
Practice Fax:

Directions to “ PAULA M GORMON CDP” 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.