Individual
DR. SOPHIE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3525 W 10TH CT, KENNEWICK, WA 99338-2048
(206) 349-6874
Mailing address
3525 W 10TH CT, KENNEWICK, WA 99338-2048
(206) 349-6874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00031624
WA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD00031624
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD00031624
WA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD00031624
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202009
L&I
WA
01
—
077333500
OWCP FECA
WA
05
—
8184913
—
WA
Enumeration date
01/25/2006
Last updated
03/13/2023
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