Individual
MS. PAMELA LEIGH GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-6106
(971) 940-0402
Mailing address
5441 S MACADAM AVE STE A, PORTLAND, OR 97239-6106
(971) 940-0403
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R10772
OR
Other
Enumeration date
04/08/2015
Last updated
04/24/2025
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