Individual provider · Type 1 NPI

Tara Gonzales

Mental Health Counselor · Portland, OR

NPI number 1427418797 Active

Practice location

17710 NE Halsey St
Portland, OR 97230-6734

Call (503) 328-8311 Map

Fax (503) 328-8499

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1427418797

Tara Gonzales's National Provider Identifier is 1427418797, issued on Mar 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 1, 2016.