Individual
ELIZABETH NURIA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3719 N WILLIAMS AVE, PORTLAND, OR 97227-1440
(503) 433-2338
Mailing address
3719 N WILLIAMS AVE, PORTLAND, OR 97227-1440
(503) 433-2338
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1157
OR
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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