Individual
ANTONIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
971 SW WALNUT ST, HILLSBORO, OR 97123-5651
(503) 640-5297
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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