Individual
TERESA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13317 SE POWELL BLVD, PORTLAND, OR 97236-3335
(503) 763-9606
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 412-6436
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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