MR. Jake Gongora

  • NPI 1205466018
According to our database, the NPI number for MR. Jake Gongora is 1205466018 and activated since 4 years ago. MR. Jake Gongora is an individual provider who specializes in Community Health Worker, and the primary practice location is 4890 32nd Ave Se, Salem, OR 97317. You can also contact MR. Jake Gongora via telephone number is (503) 588-5647. Provider NPI information was last updated on 01/21/2020.

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Overview of MR. Jake Gongora

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/21/2020
  • Last updated: 01/21/2020

Primary Scrop of Practice

  • Taxonomy Code: 172V00000X
  • Specialty: Community Health Worker
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 4890 32nd Ave Se
    Salem, OR 97317
  • Phone: 503-588-5647
  • Fax: 503-779-1992

Provider Practice Location

  • Address: 4890 32nd Ave Se
    Salem, OR 97317
  • Phone: 503-588-5647
  • Fax: 503-779-1992

Scope of Practice

  • Taxonomy Code: 172V00000X
  • Specialty: Community Health Worker
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Jake Gongora?
  • A: The npi number for MR. Jake Gongora is 1205466018.
  • Q: What are MR. Jake Gongora's specialties?
  • A: MR. Jake Gongora's specialties are Community Health Worker and different specialities.
  • Q: What is the medical license for MR. Jake Gongora?
  • A: The medical license number for MR. Jake Gongora is unknow and issued in unknow in USA.
  • Q: Where is MR. Jake Gongora practice location?
  • A: MR. Jake Gongora is practicing at 4890 32nd Ave Se, Salem, OR 97317.
  • Q: How to contact MR. Jake Gongora?
  • A: You can contact MR. Jake Gongora via 503-588-5647.