Roy Gomez

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hermiston, OR

NPI 1972066116 · NPPES record last updated Apr 12, 2019

Key facts

NPI
1972066116
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
32405 Diagonal Rd
Hermiston, OR 97838-7503
Phone
(541) 567-2593
Fax
(888) 977-2106
NPI assigned
Apr 12, 2019
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

32405 Diagonal Rd
Hermiston, OR 97838-7503

Mailing address

32405 Diagonal Rd
Hermiston, OR 97838-7503
Phone (541) 567-2593

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address Rgomez@powerhousetreatment.com

Other providers in Hermiston, OR

All providers in Hermiston, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.