Brisa M Gonzalez
Student in an Organized Health Care Education/Training Program in Beaverton, OR. Individual provider (NPI-1).
NPI number1013755263
StatusActive
Last updated in NPPESJul 19, 2024
Details
- NPI
- 1013755263
- Entity type
- Individual (NPI-1)
- Name
- Brisa M Gonzalez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2024
- Certification date
- Jul 19, 2024
- Last updated
- Jul 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | OR | Yes |
Practice location
15455 Nw Greenbrier Pkwy Ste 200Beaverton, OR 97006-7359
Phone 503-258-4495
Mailing address
11035 Ne Sandy BlvdPortland, OR 97220-2553
Phone 503-258-4200
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All 46 Student in an Organized Health Care Education/Training Program providers in Beaverton · All 4,562 providers in Beaverton
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