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Provider Information for 1992720486

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALMA E GOMEZ PA

Other Name:   ALMA GOMEZ-VAN ALLMAN
Gender: FEMALE

Individual NPI: 1992720486

Calendar   Last Updated:  2020-05-08
  Certification Date:  2020-05-08

Details

Name Value
NPI 1992720486
Enumeration Date 2006-07-13
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3600 LIND AVE SW SUITE 100 ATTN CREDENTIALING
RENTON, WA 98057-4970
United States

Phone: 425-690-2715 | Fax:
View Map External Link
Primary Practice Address 3600 LIND AVE SW STE 170
RENTON, WA 98057-4934
United States

Phone: 425-656-5020 | Fax: 425-656-5019
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID WA 2015880
Other MEDICARE W VALLEY MEDICAL GROUP - RENTON WA G8925755
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 363A00000X - Physician Assistant WA PA60231468