Individual provider · Type 1 NPI

Alicja Katarzyna Gonzales, PHYSICIAN ASSISTANT

Medical Physician Assistant · Portland, OR

NPI number 1760436372 Active

Practice location

202 NW 13th Ave, Suite 300
Portland, OR 97209-2953

Call (503) 408-4078 Map

Fax (186) 685-9819

Mailing address

3600 NW John Olsen Pl, Suite 250
Hillsboro, OR 97124-5815

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01067 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1760436372

Alicja Katarzyna Gonzales, PHYSICIAN ASSISTANT's National Provider Identifier is 1760436372, issued on May 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jul 2, 2009.