Individual
SANDRA MONICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1130 SW MORRISON ST STE 411, PORTLAND, OR 97205-2215
(503) 228-0939
Mailing address
1130 SW MORRISON ST STE 411, PORTLAND, OR 97205-2215
(503) 228-0939
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1558
OR
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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