Individual
GLORIA ESTHER GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
4317 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(971) 207-3419
(503) 493-1642
Mailing address
4317 NE TILLAMOOK ST, PORTLAND, OR 97213-1315
(971) 207-3419
(503) 493-1642
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13911
OR
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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