Organization
VIRTUAL NURSE PRACTITIONER LLC
Active
Other names
Jeffrey M Gonzales
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M GONZALES FNP-C (OWNER/PROVIDER)
(541) 419-6337
Entity
Organization
Contact information
Practice address
2654 NE JILL CT, BEND, OR 97701-5887
(541) 419-6337
(866) 638-8660
Mailing address
2654 NE JILL CT, BEND, OR 97701-5887
(541) 419-6337
(866) 638-8660
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028408
—
OR
01
—
135382
OREGON MEDICARE
OR
Enumeration date
01/12/2010
Last updated
01/12/2010
Update your record
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