IndividualActive
Charlie Gordon, BHRS
NPI 1699111815 · Case Manager/Care Coordinator · Antlers, OK
Provider details
- NPI number
- 1699111815
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Credential
- BHRS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
112 N High St
Antlers, OK 74523-2250
Phone: (580) 298-3001
Approximate (ZIP-level) locationGet directions
Mailing address
814 N Highland St
Seminole, OK 74868-3270
Registry dates
- Enumerated
- 2013-05-14
- Last updated
- 2013-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.