Individual
JANET GOMEZ SOUMPHONPACKDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 PARK DR, OREGON CITY, OR 97045-3242
(971) 275-7320
Mailing address
424 PARK DR, OREGON CITY, OR 97045-3242
(971) 275-7320
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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