NPI 1093007767 · live from the CMS NPI Registry
Matthew Craig Gordon, M.D.
Dermatology in Issaquah, WA. National Provider Identifier 1093007767, active.
NPI record
| NPI | 1093007767 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1301 4th Ave Nw Ste 302, Issaquah, WA 98027 |
| Practice phone | 206-957-9329 |
| Mailing address | 1793 13th St Se, Salem, OR 97302 |
| Enumerated | May 12, 2011 |
| Last updated | June 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 52503 (TN) |
| Dermatology primary | 207N00000X | MD70059021 (WA) |
| Dermatology | 207N00000X | ME113912 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.