Individual
SHANE ANTHONY GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.M.
Contact information
Practice address
1122 NE 122ND AVE STE A200, PORTLAND, OR 97230-2083
(503) 594-4774
Mailing address
1122 NE 122ND AVE STE A200, PORTLAND, OR 97230-2083
(503) 594-4774
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
OR
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us