Individual
GISELLA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
12450 SW WALKER RD, BEAVERTON, OR 97005-1401
(503) 286-6868
Mailing address
12450 SW WALKER RD, BEAVERTON, OR 97005-1401
(503) 286-6868
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
OR
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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