Healthcare Provider Details

I. General information

NPI: 1497985899
Provider Name (Legal Business Name): VIOLETA MERCEDES GOMEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2009
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23211 NE STATE ROUTE 3
BELFAIR WA
98528-8599
US

IV. Provider business mailing address

2341 NE WINLOCK WAY
POULSBO WA
98370-9258
US

V. Phone/Fax

Practice location:
  • Phone: 360-358-3039
  • Fax:
Mailing address:
  • Phone: 470-733-0321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number60912725
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License Number60912725
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number60912725
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number60912725
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: