Individual
MR. ORLANDO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9923 SW ARCTIC DR, BEAVERTON, OR 97005-4194
(503) 646-8482
Mailing address
13245 SW 161ST PL, TIGARD, OR 97223-2674
(503) 307-1552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3105
OR
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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