Individual
LINDY SUE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97470-6523
(541) 440-1000
Mailing address
913 NW GARDEN VALLEY, VA MEDICAL CENTER, ROSEBURG, OR 97470-8481
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200050094NP
OR
363LG0600X
Gerontology Nurse Practitioner
200050093NP
OR
Other
Enumeration date
08/14/2006
Last updated
09/05/2008
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