Individual
DR. MEGAN ANGELINE REID GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1217 NE BURNSIDE RD, STE 301, GRESHAM, OR 97030-6722
(503) 492-2625
Mailing address
1217 NE BURNSIDE RD, STE 301, GRESHAM, OR 97030
(503) 492-2625
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5819
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013289735
TYPE 2 NPI
OR
Enumeration date
05/12/2017
Last updated
08/09/2017
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