Individual
MELISSA ANN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2067
Mailing address
121 NW EVERETT ST, PORTLAND, OR 97209-4049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10051487
OR
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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