Jennifer Lopez Gonzalez, QMHA-R is a
Case Manager/care Coordinator based in Portland, Oregon. Jennifer Lopez Gonzalez is licensed to practice in * (Not Available) (license number ) and her current practice location is
13317 Se Powell Blvd, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 760-9606.
NPI number for Jennifer Lopez Gonzalez is 1629793013 and her current mailing address is 3716 Ne Mlk Blvd, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629793013.
Healthcare Provider's Profile
Full Name | Jennifer Lopez Gonzalez |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 13317 Se Powell Blvd, 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: 1629793013
- Provider Enumeration Date: 10/07/2022
- Last Update Date: 07/09/2023
Medical Identifiers
Medical identifiers for Jennifer Lopez Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629793013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (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. Jennifer Lopez Gonzalez 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 |
Jennifer Lopez Gonzalez, QMHA-R 3716 Ne Mlk Blvd, Portland, OR 97212-1111 Ph: () - | Jennifer Lopez Gonzalez, QMHA-R 13317 Se Powell Blvd, Portland, OR 97236-3335 Ph: (503) 760-9606 |
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