Gomez, Jason Raydr-Scott

Gomez, Jason Raydr-Scott is an individual health care provider with primary practice located at 31912 Little Boston Rd Ne , Kingston WA 98346-9700. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gomez, Jason Raydr-Scott can be contacted via phone (360) 297-6329.

Contact Information

Primary practice address
31912 Little Boston Rd Ne Kingston WA 98346-9700
Phone: (360) 297-6329
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 60777486 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 61031153 Washington

Profile Details

NPI number 1336603026
LBN Legal business name Gomez, Jason Raydr-Scott
Credentials SUDP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2019
Last updated Aug 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336603026 NPPES
Washington Other 61031153 SUDP CREDINTENTIAL

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