Individual
SILVIA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
(503) 988-4076
(503) 988-4074
Mailing address
1401 NE 68TH AVE, PORTLAND, OR 97213-4957
(503) 988-4076
(503) 988-4074
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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