Manuel Joseph Gomes in Medford - Clinical
Manuel Joseph Gomes - NPI 1306829502
Manuel Joseph Gomes is a Clinical in Medford, Oregon. Manuel Joseph Gomes practices all healthcare services and medical treatments related to Clinical. The NPI Number for Manuel Joseph Gomes is 1306829502. The last update date is 2011-08-08.
Manuel Joseph Gomes's current location address is 700 E Main St Ste 105, Medford, Oregon. You can contact this provider via phone number 4254444151. The mailing address for Manuel Joseph Gomes is 700 E Main St Ste 105, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Manuel Joseph Gomes |
|---|---|
| Address | 700 E Main St Ste 105, Medford, Oregon |
| Phone Number | 4254444151 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1306829502 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2011-08-08 |
Provider Mailing Address Detail
| Address | 700 E Main St Ste 105 |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975047138 |
| Phone Number | 4254444151 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY00003739 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Manuel Joseph Gomes by the Centers for Medicare & Medicaid Services?
The Manuel Joseph Gomes has been assigned the NPI (National Provider Identifier) 1306829502 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Manuel Joseph Gomes is physically located?
The Manuel Joseph Gomes is situated at the following address: 700 E Main St Ste 105, Medford, OR 975047138.
What is Manuel Joseph Gomes's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Manuel Joseph Gomes is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Manuel Joseph Gomes receive the assignment of its 1306829502 from the Centers for Medicare & Medicaid Services?
The Manuel Joseph Gomes was issued its 1306829502 by the Centers for Medicare & Medicaid Services on 2005-11-22.
When was the Manuel Joseph Gomes's information last updated?
The Manuel Joseph Gomes's information was last updated on 2011-08-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL