Guadalupe Gonzales, is a
Peer Specialist based in Portland, Oregon. Guadalupe Gonzales is licensed to practice in * (Not Available) (license number ) and her current practice location is
1825 Ne Glisan St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 963-7676.
NPI number for Guadalupe Gonzales is 1033959416 and her current mailing address is Po Box 8459, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033959416.
Healthcare Provider's Profile
Full Name | Guadalupe Gonzales |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 1825 Ne Glisan St, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033959416
- Provider Enumeration Date: 05/31/2024
- Last Update Date: 05/31/2024
Medical Identifiers
Medical identifiers for Guadalupe Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033959416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Guadalupe Gonzales is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Guadalupe Gonzales, Po Box 8459, Portland, OR 97207-8459 Ph: () - | Guadalupe Gonzales, 1825 Ne Glisan St, Portland, OR 97232-2844 Ph: (503) 963-7676 |
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