Martin Alexander Gonzalez
Nurse's Aide in Corvallis, OR. Individual provider (NPI-1).
NPI number1124708367
StatusActive
Last updated in NPPESJul 21, 2023
Details
- NPI
- 1124708367
- Entity type
- Individual (NPI-1)
- Name
- Martin Alexander Gonzalez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2023
- Certification date
- Jul 21, 2023
- Last updated
- Jul 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
Practice location
4455 Ne Highway 20Corvallis, OR 97330-9695
Phone 541-758-5900
Mailing address
3415 Se Powell BlvdPortland, OR 97202-3371
Phone 503-234-9591
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All 15 Nurse's Aide providers in Corvallis · All 4,542 providers in Corvallis
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