Provider Demographics
NPI:1841283793
Name:GORDIN, MENDEL MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:MENDEL
Middle Name:MICHAEL
Last Name:GORDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:119 N COMMERCIAL ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4446
Mailing Address - Country:US
Mailing Address - Phone:360-647-6173
Mailing Address - Fax:866-630-8351
Practice Address - Street 1:1116 KEY ST
Practice Address - Street 2:SUITE 211
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5232
Practice Address - Country:US
Practice Address - Phone:360-647-6173
Practice Address - Fax:360-647-6729
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-25
Last Update Date:2014-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD000287562084P0800X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice