Individual
ENRIQUE GOMEZ MORAYTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9250 SW HALL BLVD, TIGARD, OR 97223-6721
(503) 293-0161
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1902
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44281
AZ
207R00000X
Internal Medicine Physician
Primary
MD165430
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
324199
AMERICAN BOARD OF INTERNAL MEDICINE CERTIFIED
—
Enumeration date
08/22/2008
Last updated
07/21/2022
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