Individual
DR. MANUEL JOSEPH GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
700 E MAIN ST STE 105, MEDFORD, OR 97504-7138
(425) 444-4151
Mailing address
700 E MAIN ST STE 105, MEDFORD, OR 97504-7138
(425) 444-4151
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003739
WA
Other
Enumeration date
11/22/2005
Last updated
08/08/2011
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