SUSANA GOMORA
NPI 1770764334
Counselor - Mental Health in Portland, OR

Active since November 23, 2007
209 SW 4TH AVE STE 520, PORTLAND, OR 97204(971) 710-4424(503) 988-4386 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susana Gomora NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANA GOMORA (NPI 1770764334) is an individual mental health provider in Portland, Oregon, licensed in Oregon (23-QMHP-R-2008) and active in the NPI registry since November 2007. She maintains a secondary practice location in Northridge.

NPPES Registry Identity

NPI1770764334
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSANA GOMORA
Location Address209 SW 4TH AVE STE 520Portland, OR 97204-1825
Mailing Address209 Sw 4th Ave Ste 520Portland, OR 97204-1825 · (503) 988-5464 · Fax (503) 988-4015
Fax(503) 988-4386
Sole ProprietorYes
Enumeration DateNovember 23, 2007
Last NPPES UpdateJune 14, 2023
NPPES CertifiedJune 7, 2023
NPI 1770764334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · 23-QMHP-R-2008
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCSW60939 (CA)
209 SW 4TH AVE STE 520, Portland, OR 97204

Secondary Practice Location 1

Location 19650 Zelzah AveNorthridge, CA 91325-2003 · Phone (818) 993-9311

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
209 SW 4TH AVE STE 520
PORTLAND, OR 97204
Community/Behavioral Health
209 SW 4TH AVE STE 520
PORTLAND, OR 97204
Counselor (Mental Health)
209 SW 4TH AVE STE 520
PORTLAND, OR 97204
Community/Behavioral Health
209 SW 4TH AVE STE 520
PORTLAND, OR 97204
Social Worker
209 SW 4TH AVE STE 520
PORTLAND, OR 97204
Case Manager/Care Coordinator
209 SW 4TH AVE STE 520
PORTLAND, OR 97204
Case Manager/Care Coordinator
209 SW 4TH AVE STE 520
PORTLAND, OR 97204
Community/Behavioral Health
209 SW 4TH AVE STE 520
PORTLAND, OR 97204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susana Gomora's NPI number?

The NPI number for Susana Gomora is 1770764334. It was assigned to this individual provider in the NPPES registry on November 23, 2007.

Where is Susana Gomora located?

Susana Gomora practices at 209 SW 4th Ave Ste 520, Portland, OR 97204. The listed phone number is (971) 710-4424.

What is Susana Gomora's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Susana Gomora was last updated on June 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.