IndividualActive
Jackie Gorden
NPI 1487095493 · Attendant Care Provider · Corvallis, OR
Provider details
- NPI number
- 1487095493
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
530 Nw 27th St
Corvallis, OR 97330-5223
Phone: (541) 766-6835
Fax: (541) 766-6186
Approximate (ZIP-level) locationGet directions
Mailing address
530 Nw 27th St
Corvallis, OR 97330-5223
Registry dates
- Enumerated
- 2013-07-08
- Last updated
- 2013-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.