NPI 1861234395

Brian Jacob Gomez, IDCUSN

Practitioner Independent Duty Corpsman Portland, OR

Practice location

Address: 5555 N Channel Ave, Portland, OR 97217-7655
Phone: (619) 545-0475
Mailing address: 550 Pope Ave, Fort Leavenworth, KS 66027-2332

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Oregon →

Registry record

NPI: 1861234395
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2024
Record last updated: 12 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.