Organization
NURIA GOMEZ LMFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH NURIA GOMEZ LMFT (MEMBER MANAGER)
(425) 765-9076
Entity
Organization
Contact information
Practice address
3719 N WILLIAMS AVE, PORTLAND, OR 97227
(503) 433-2338
(503) 287-4955
Mailing address
3300 N WILLIS BLVD, PORTLAND, OR 97217
(425) 765-9076
(503) 287-4955
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1157
OR
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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