Individual
LORRAINE WALBURGA GOHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9155 SW BARNES RD STE 440, PORTLAND, OR 97225-6631
(503) 935-8500
(503) 935-8505
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01429
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090873
—
WA
05
—
500605826
—
OR
Enumeration date
11/11/2008
Last updated
03/17/2018
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