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Organization

SANDRA M. GONZALEZ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANDRA M. GONZALEZ PSY.D. (LICENSED PSYCHOLOGIST)
(503) 228-0939
Entity
Organization

Contact information

Practice address
1130 SW MORRISON ST, SUITE 411, PORTLAND, OR 97205-2234
(503) 228-0939
(503) 226-8069
Mailing address
1130 SW MORRISON ST, SUITE 411, PORTLAND, OR 97205-2234
(503) 228-0939
(503) 226-8069

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1558
OR

Other

Enumeration date
04/11/2008
Last updated
04/11/2008
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