Gomez, Douglas
Gomez, Douglas is an sole proprietor health care provider with primary practice located at 91150 N Coburg Industrial Way , Coburg OR 97408-9512. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Gomez, Douglas can be contacted via phone (541) 284-5675.Contact Information
Primary practice address
91150 N Coburg Industrial Way
Coburg OR 97408-9512
Phone: (541) 284-5675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 3506 | Oregon |
Profile Details
| NPI number | 1700532942 |
|---|---|
| LBN Legal business name | Gomez, Douglas |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2022 |
| Last updated | Nov 10th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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