Individual
BERLIS GOMEZ LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5990 SW MENLO DR, BEAVERTON, OR 97005-4306
(503) 344-7467
Mailing address
5990 SW MENLO DR, BEAVERTON, OR 97005-4306
(503) 344-7467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10017819
OR
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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