| Doctor Name: | MS. DEE LESLIE GORDON |
| NPI Number: | 1023140456 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN CWOCN CFCN |
| License Number: | 200440877RN |
| Business Practice Address: | 1270 Kot-num Road Warm Springs, OR - 97761 |
| Business Phone Number: | 5035411196 |
| Business Fax Number: | |
| Mailing Address: | 1270 Kot-num Road, WARM SPRINGS |
| State: | OR |
| Postal Code: | 97761 |
| Phone Number: | 5035411196 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 05/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC2100X |
| License Number: | 200440877RN |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Continence Care |
| Taxonomy Definition: | |