Individual
JUSTIN ANTHONY GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2902 TOM TENNANT DR, WOODBURN, OR 97071-2828
(971) 345-4767
Mailing address
3187 E 3050 S, SAINT GEORGE, UT 84790-1372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10050797
OR
363LF0000X
Family Nurse Practitioner
Primary
863840
NV
Other
Enumeration date
01/20/2023
Last updated
11/23/2025
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