SUSANA GOMORA NPI 1770764334

NPI Information

NPI: 1770764334
Provider Name: SUSANA GOMORA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
209 SW 4TH AVE STE 520
PORTLAND, OR
ZIP 97204
Phone: (971) 710-4424
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Susana Gomora is a mental health counselor in Portland, OR. Susana Gomora NPI is 1770764334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

209 SW 4TH AVE STE 520
PORTLAND, OR
ZIP 97204-825
Phone: (971) 710-4424
Fax: (503) 988-4386

The enumeration date for this NPI number is 11/23/2007 and was last updated on 6/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	LCSW60939	CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health	23-QMHP-R-2008	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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