Individual
OLIVIA JEAN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SE BAKER ST, MCMINNVILLE, OR 97128-6894
(503) 883-2200
Mailing address
UNIT 2024 190 SW BRUMBACK ST., MCMINNVILLE, OR 97128
(808) 280-2774
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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