BRIAN JACOB GOMEZ

PORTLAND, OR
NPI1861234395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-06-06
Last Update Date2026-04-12
Business Address
BRIAN JACOB GOMEZ IDC, USN
5555 N CHANNEL AVE
PORTLAND, OR 97217-7655
Phone number: 619-545-0475
Mailing Address
BRIAN JACOB GOMEZ IDC, USN
550 POPE AVE
FORT LEAVENWORTH, KS 66027-2332
Phone number: 619-545-0475
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