Individual
AANYA LYNNE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 NE BROADWAY, PORTLAND, OR 97213-1425
(503) 258-4555
Mailing address
4425 NE BROADWAY, PORTLAND, OR 97213-1425
(503) 258-4555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14062
OR
Other
Enumeration date
07/12/2022
Last updated
05/20/2025
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