IndividualActive
Adrian Gordon, CPSS
NPI 1376485870 · Peer Specialist · Midvale, UT
Provider details
- NPI number
- 1376485870
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- CPSS
- Sex
- Male
- Sole proprietor
- No
- License
- F25-118400 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
91 E Fort Union Blvd
Midvale, UT 84047-1531
Phone: (385) 275-6162
Approximate (ZIP-level) locationGet directions
Mailing address
718 E Wilson Ave
Salt Lake City, UT 84105-3123
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.