Individual
ANTHONY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.,PA-C
Contact information
Practice address
4400 NE HALSEY ST., BLDG 2, 3RD FLOOR, PORTLAND, OR 97213
(888) 227-3312
Mailing address
PO BOX 3229, PORTLAND, OR 97208-3229
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61106
CA
363A00000X
Physician Assistant
PA00879
OR
363A00000X
Physician Assistant
PA10005336
WA
Other
Enumeration date
07/14/2006
Last updated
06/22/2022
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