Individual
MICHAELEEN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1775 WASHBURN WAY, SUITE A, KLAMATH FALLS, OR 97603-4304
(541) 887-2507
(541) 887-2508
Mailing address
1775 WASHBURN WAY, SUITE A, KLAMATH FALLS, OR 97603-4304
(541) 887-2507
(541) 887-2508
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
21988
OR
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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