Provider Demographics
NPI:1316053499
Name:GONZALEZ LAMBERT, ARCOMA LYNN (ND)
Entity type:Individual
Prefix:DR
First Name:ARCOMA
Middle Name:LYNN
Last Name:GONZALEZ LAMBERT
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 MOUNTAIN VIEW LN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FOREST GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97116-2382
Mailing Address - Country:US
Mailing Address - Phone:503-357-2826
Mailing Address - Fax:503-357-4831
Practice Address - Street 1:1911 MOUNTAIN VIEW LN
Practice Address - Street 2:SUITE 300
Practice Address - City:FOREST GROVE
Practice Address - State:OR
Practice Address - Zip Code:97116-2382
Practice Address - Country:US
Practice Address - Phone:503-357-2826
Practice Address - Fax:503-357-4831
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1408175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath