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Terri L Gordon, MSW (Student)

Student in an Organized Health Care Education/Training Program in Kalispell, MT. Individual provider (NPI-1).

NPI number1366901720
StatusActive
Last updated in NPPESMar 18, 2020

Details

NPI
1366901720
Entity type
Individual (NPI-1)
Name
Terri L Gordon
Credential
MSW (Student)
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2019
Certification date
Mar 18, 2020
Last updated
Mar 18, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

428 Church Dr
Kalispell, MT 59901-6955

Phone 406-607-7065 · Fax 406-730-4050

Mailing address

428 Church Dr
Kalispell, MT 59901-6955

Phone 406-241-4575

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Student in an Organized Health Care Education/Training Program providers in Kalispell, MT

All 5 Student in an Organized Health Care Education/Training Program providers in Kalispell · All 2,256 providers in Kalispell

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