Individual
JOHN LYLE TRON MONTERO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9135 SW BARNES RD STE 461, PORTLAND, OR 97225-6643
(503) 216-1150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
312112
LA
2084N0400X
Neurology Physician
Primary
MD209119
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2013
Last updated
02/10/2023
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