| Sandra M. Gonzalez | |
|
1130 Sw Morrison St Suite 411 Portland OR 97205-2234 | |
| (503) 228-0939 | |
| (503) 226-8069 |
| Full Name | Sandra M. Gonzalez |
|---|---|
| Speciality | Psychologist |
| Location | 1130 Sw Morrison St, Portland, Oregon |
| Authorized Official Name and Position | Sandra M. Gonzalez (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5032280939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra M. Gonzalez 1130 Sw Morrison St Suite 411 Portland OR 97205-2234 Ph: (503) 228-0939 | Sandra M. Gonzalez 1130 Sw Morrison St Suite 411 Portland OR 97205-2234 Ph: (503) 228-0939 |
| NPI Number | 1003089848 |
|---|---|
| Provider Enumeration Date | 04/11/2008 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003089848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1558 (Oregon) | Primary |
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