# NURIA GOMEZ LMFT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205372620
- **Authorized official:** ELIZABETH NURIA GOMEZ LMFT (MEMBER MANAGER)
- **Authorized official phone:** (425) 765-9076

## Contact information

- **Practice address:** 3719 N WILLIAMS AVE, PORTLAND, OR 97227
- **Practice address phone:** (503) 433-2338
- **Practice address fax:** (503) 287-4955
- **Mailing address:** 3300 N WILLIS BLVD, PORTLAND, OR 97217
- **Mailing address phone:** (425) 765-9076
- **Mailing address fax:** (503) 287-4955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | T1157 | OR | Yes |

## Other

- **Enumeration date:** 01/09/2017
- **Last updated:** 01/09/2017