Individual provider · Type 1 NPI
Kena G. Gomalo
Mental Health Counselor · Beaverton, OR
NPI number
1457240285
Active
Practice location
19664 SW Stacey St
Beaverton, OR 97003-2520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1457240285
Kena G. Gomalo's National Provider Identifier is 1457240285, issued on Jun 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Jun 27, 2025.