Individual provider · Type 1 NPI

Shane Anthony Gonzales, C.R.M.

Substance Use Disorder Rehabilitation Clinic/Center · Portland, OR

NPI number 1245065366 Active

About NPI 1245065366

Shane Anthony Gonzales, C.R.M.'s National Provider Identifier is 1245065366, issued on Sep 6, 2024. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Portland, OR. The record was last updated on Sep 6, 2024.