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Search › Oregon › 101YM0800X

Susana Gomora

NPI 1770764334 · on the registry since 2007 · sole proprietor

Practice

Address
209 Sw 4th Ave Ste 520
Portland, OR 97204
Phone
(971) 710-4424
Fax
(503) 988-4386
Organisation at this address
Multnomah County
Multnomah County
Multnomah County
Multnomah County
Multnomah County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
71

Additional practice sites

  • 9650 Zelzah Ave, Northridge, CA

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
1041C0700X
Licence states on file
CA, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon