Provider Demographics
NPI:1427607597
Name:GOMES, JULIA RUTH (OTR/L)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:RUTH
Last Name:GOMES
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SW CROWELL WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-3429
Mailing Address - Country:US
Mailing Address - Phone:541-617-8769
Mailing Address - Fax:
Practice Address - Street 1:120 SW CROWELL WAY STE 100
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-3429
Practice Address - Country:US
Practice Address - Phone:541-617-8769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR522579225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics