JAY YEONG-TAE GOMEZ NPI 1881562205

NPI Information

  • NPI: 1881562205
  • Provider Name: JAY YEONG-TAE GOMEZ
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 4185 SW RESEARCH WAY
    CORVALLIS, OR
    ZIP 97333
  • Phone: (541) 766-6777

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NPI Details

Jay Yeong-tae Gomez is a mental health counselor in Corvallis, OR. Jay Yeong-tae Gomez NPI is 1881562205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4185 SW RESEARCH WAY
CORVALLIS, OR
ZIP 97333-783
Phone: (541) 766-6777

The enumeration date for this NPI number is 10/27/2025 and was last updated on 10/27/2025.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

NPI Synchronization or Removal

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