Susana Gomora, - in Portland, OR

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Susana Gomora, is a Counselor - Mental Health based in Portland, Oregon. Susana Gomora is licensed to practice in Oregon (license number 23-QMHP-R-2008) and her current practice location is 209 Sw 4th Ave Ste 520, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (971) 710-4424.

NPI number for Susana Gomora is 1770764334 and her current mailing address is 209 Sw 4th Ave Ste 520, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770764334.

Contact Information

Susana Gomora,
209 Sw 4th Ave Ste 520,
Portland, OR 97204-1825
(971) 710-4424
(503) 988-4386

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Healthcare Provider's Profile

Full NameSusana Gomora
GenderFemale
SpecialityCounselor - Mental Health
Location209 Sw 4th Ave Ste 520, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770764334
  • Provider Enumeration Date: 11/23/2007
  • Last Update Date: 06/14/2023

Medical Identifiers

Medical identifiers for Susana Gomora such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770764334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical LCSW60939 (California)Secondary
101YM0800XCounselor - Mental Health 23-QMHP-R-2008 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susana Gomora is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susana Gomora,
209 Sw 4th Ave Ste 520,
Portland, OR 97204-1825

Ph: (503) 988-5464		Susana Gomora,
209 Sw 4th Ave Ste 520,
Portland, OR 97204-1825

Ph: (971) 710-4424

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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