LUPE GOMEZ


Address: 3325 Harold Dr Ne, Salem, OR 97305-1339
Phone: 5033632021

LUPE GOMEZ (NPI# 1518263516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518263516
Entity Type Individual
Full Name LUPE GOMEZ
Credential QMHA
Practice Address 3325 Harold Dr Ne
Salem
OR 97305-1339
Mailing Address Po Box 17818
Salem
OR 97305-7818
Practice Telephone 5033632021
Enumeration Date 2011-02-08
Last Update Date 2015-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
OR Behavioral Health & Social Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3325 HAROLD DR NE
City SALEM
State OR
Zip Code 97305-1339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679520787 Cascadia Behavioral Healthcare Inc Clinic/Center 3325 Harold Dr Ne, Salem, OR 97305-1339 2006-05-27
1780202432 Mary Greer Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2020-07-09
1992364566 Debra Ross Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2019-06-07
1699338681 Michael Sketch Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2019-04-16
1700352754 Julia Humphreville Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2018-10-17
1649770884 Justin Lee Mac Peer Specialist 3325 Harold Dr Ne, Salem, OR 97305-1339 2018-02-14
1659870996 Donna Estelle Hoffman Registered Nurse 3325 Harold Dr Ne, Salem, OR 97305-1339 2018-02-01
1801303102 Jeffrey Spears I Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2018-01-08
1023529138 Marcelina Raya Bueno Peer Specialist 3325 Harold Dr Ne, Salem, OR 97305-1339 2017-10-16
1932628955 Brittany A Wyas Counselor 3325 Harold Dr Ne, Salem, OR 97305-1339 2017-09-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821639147 Christine Ann Featherstone Social Worker Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 2019-10-08
1962996553 Erin Ann Wakefield Non-emergency Medical Transport (VAN) 2425 Fisher Rd Ne, Salem, OR 97305 2018-06-18
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1952825762 Matthew Paul Martin Dentist 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 2017-08-02
1043750367 Sherri King Physical Therapy Assistant 4696 Reimann St Ne, Salem, OR 97305 2017-03-06
1760861314 Amara Lenore Peterson Counselor 4347 Sunnyview Rd Ne, Salem, OR 97305 2015-05-28
1720467954 Heather Rose Community Health Worker 4347 Sunnyview Road Ne, Salem, OR 97305 2015-05-20
1588057004 Carmen Heidecke Counselor 4347 Sunnyview Rd. Ne, Salem, OR 97305 2015-03-08
1629476825 Bryan James Greenaway Audiologist 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 2014-12-21
1710300322 Christopher Ryan Counselor 4385 Sunnyview Road Ne, Salem, OR 97305 2014-02-03
Find all providers in zip 97305

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740899343 Damien Miller Student in an Organized Health Care Education/Training Program 208 Spring Meadow Cir, Salem, IN 47167-9430 2020-07-29
1063039196 Courtney Amber Allred Student in an Organized Health Care Education/Training Program 1764 N Warbler Rd, Salem, UT 84653-5761 2020-07-06
1619591872 Maryam Cheema Student in an Organized Health Care Education/Training Program 1970 Roanoke Blvd Dept Of, Salem, VA 24153-6404 2020-06-03
1669001228 Paul Mcguire Student in an Organized Health Care Education/Training Program 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 2020-04-06
1942865001 Cierra Elizabeth Omlor Student in an Organized Health Care Education/Training Program 99 Frog Ocean Rd, Salem, NJ 08079-3451 2019-05-04
1972064343 Lauren Eary Student in an Organized Health Care Education/Training Program 7345 Bradshaw Rd, Salem, VA 24153-2204 2019-03-28
1780172353 Julie Nguyen Student in an Organized Health Care Education/Training Program 61 Barstow St, Salem, MA 01970-2303 2018-04-28
1487163044 Rachel Amos Student in an Organized Health Care Education/Training Program 31731 Carey Rd, Salem, OH 44460-9566 2017-09-27
1710406376 Karla Angelica Flores Martinez Student in an Organized Health Care Education/Training Program 3717 Homestead Rd S, Salem, OR 97302-9753 2017-09-14
1457899734 Amelia Witter Student in an Organized Health Care Education/Training Program 3434 Buckwood Trl, Salem, VA 24153-9035 2017-02-07
Find all providers in SALEM

Competitor

Search similar providers

City SALEM
Zip Code 97305

Improve Information

Please comment or provide details below to improve the information on LUPE GOMEZ.

Dataset Information

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.

Trending Searches