Individual
FERNANDO OCAMPO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
Mailing address
7801 GREENWOOD AVE N APT 401, SEATTLE, WA 98103-4638
(720) 459-2956
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO61217809
WA
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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