Individual
ANGELICA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MULLINS DR STE A1, LEBANON, OR 97355-2868
(541) 766-0200
Mailing address
2435 GREENWAY DR NE, SALEM, OR 97301-4535
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
172V00000X
Community Health Worker
Primary
—
OR
Other
Enumeration date
02/25/2015
Last updated
09/14/2022
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