Individual
MRS. LISA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
32050 SW WILLAMETTE WAY E, WILSONVILLE, OR 97070-9596
(503) 939-6243
Mailing address
32050 SW WILLAMETTE WAY E, WILSONVILLE, OR 97070-9596
(503) 939-6243
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
201143372RN
OR
Other
Enumeration date
05/11/2019
Last updated
02/05/2026
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