VICTOR GOMES (NPI# 1366859175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366859175 |
| Entity Type | Individual |
| Full Name | VICTOR GOMES |
| Credential | RN |
| Practice Address |
4212 Se Division St Suite 100 Portland OR 97206-1628 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032380705 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
201403830RN | OR | Nursing Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437378528 | Victor M. Gomes | Dentist | 30 Ferry St, Newark, NJ 07105-1438 | 2007-04-25 |
| Street Address |
4212 SE DIVISION ST SUITE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629123989 | Amy Elizabeth Yee | Counselor | 4212 Se Division St, Portland, OR 97206-1628 | 2007-01-24 |
| 1881234177 | Kevin Anthony Jones | Adult Companion | 4212 Se Division St, Portland, OR 97206-1680 | 2020-01-14 |
| 1982248654 | Andrew Nicholas Nye | Counselor | 4212 Se Division St, Portland, OR 97206-1680 | 2019-11-05 |
| 1568850501 | Danielle Elisse Forster Tamiesie | Case Manager/Care Coordinator | 4212 Se Division St, Suite 100, Portland, OR 97206-1628 | 2014-12-29 |
| 1477958320 | Rachel Slezak | Counselor | 4212 Se Division St, Suite 100, Portland, OR 97206-1628 | 2014-11-04 |
| 1144638651 | Nathaniel Stephenson | Counselor | 4212 Se Division St, Portland, OR 97206-1628 | 2014-07-28 |
| 1003222480 | William Beall Jr. | Community Health Worker | 4212 Se Division St, Portland, OR 97206-1628 | 2014-07-07 |
| 1447664362 | Mary Lopez | Counselor | 4212 Se Division St, Suite 100, Portland, OR 97206-1628 | 2014-06-18 |
| 1528479615 | Sarah Kimes | Community Health Worker | 4212 Se Division St, Suite 100, Portland, OR 97206-1628 | 2014-05-12 |
| 1962823278 | Daryl Ann Plotzker | Nurse Practitioner | 4212 Se Division St, Portland, OR 97206-1628 | 2014-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747607 | Kendall Clayton Karch | Registered Nurse | 30 Ne Mlk Jr Blvd, Portland, OR 97232-2941 | 2019-12-12 |
| 1275810665 | Esther Gabrielle Rosengarten | Registered Nurse | 1020 Sw Taylor St Ste 745, Portland, OR 97205-2505 | 2011-11-14 |
| 1679890651 | Caroline Jones Redstone | Registered Nurse | 106 Sw Woods St, Portland, OR 97201-4739 | 2010-04-29 |
| 1053643775 | Diane Vines | Registered Nurse | 3880 Se 8th Ave, Suite 110, Portland, OR 97202-3772 | 2010-02-04 |
| 1013190081 | Kristin Lois Cummings | Registered Nurse | 5329 Ne Martin Luther King Blvd, Portland, OR 97211-3237 | 2007-12-12 |
| 1184818080 | Jacob Balinky | Registered Nurse | 3716 Ne Mlk Blvd, Portland, OR 97212-1111 | 2007-09-04 |
| 1467533778 | Patricia J. Osborne | Registered Nurse | 916 Sw King Ave, Suite 206, Portland, OR 97205-1303 | 2006-10-17 |
| 1780646430 | Marianne Decain Tarraza | Registered Nurse | 165 Lancaster St, Portland, ME 04101-2406 | 2006-04-06 |
| 1477162717 | Lynda Long | Registered Nurse | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2020-07-22 |
| 1447877352 | Shannon Barnicle | Registered Nurse | 62 Elm St, Portland, ME 04101-3091 | 2020-06-26 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.