Rosemary Gomez, M.ED

Individual provider Active NPI Contractor · Kenmore, WA

NPI 1508032996 · NPPES record last updated May 5, 2008

Key facts

NPI
1508032996
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
8141 NE 156TH PL
Kenmore, WA 98028-4418
Phone
(425) 486-0645
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

8141 NE 156TH PL
Kenmore, WA 98028-4418

Mailing address

8141 NE 156TH PL
Kenmore, WA 98028-4418
Phone (425) 486-0645

Other providers in Kenmore, WA

All providers in Kenmore, WA · Contractor in Washington

Sources for this page

Verify at the official NPI Registry.