# PADEN GONZALES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477391357
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 6361826 | ID | Yes |
| 363A00000X | Physician Assistant | PA224957 | OR | — |

## Other

- **Enumeration date:** 07/16/2024
- **Last updated:** 01/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500841600 | — | OR |