Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Jacob Gomez, IDC, USN

Individual provider Independent Duty Corpsman · NPI 1861234395

Brian Jacob Gomez, IDC, USN is an Independent Duty Corpsman in Portland, Oregon. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5555 N Channel Ave
Portland, OR 97217-7655
Phone: (619) 545-0475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1861234395
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC , USN
Sole proprietorNo
NPI enumeratedJune 6, 2024
Last updated in NPPESApril 12, 2026
Certification dateApril 12, 2026

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