Individual
MRS. SARAH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 647-0165
(503) 647-5681
Mailing address
4300 PACIFIC AVE APT 6, FOREST GROVE, OR 97116-2391
(971) 227-2044
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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