Individual
TEHNIYAH N GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
9135 SW BARNES RD STE 763, PORTLAND, OR 97225-6777
(503) 216-6560
Mailing address
7580 SW DUNSMUIR LN, BEAVERTON, OR 97007-5963
(805) 588-5843
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202205327NP-PP
OR
Other
Enumeration date
05/06/2022
Last updated
05/06/2024
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