Individual provider · Type 1 NPI

Omar J. Gonzalez, PA-C

Surgical Physician Assistant · Renton, WA

NPI number 1831412485 Active

Practice location

4011 Talbot Rd S, Suite 300
Renton, WA 98055-5773

Call (425) 656-5060 Map

Fax (425) 656-5047

Mailing address

9200 SE 91st Ave, Ste 340
Portland, OR 97086-3756

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60133734 (WA)
Surgical Physician Assistant Primary 363AS0400XPA60133734 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1831412485

Omar J. Gonzalez, PA-C's National Provider Identifier is 1831412485, issued on Mar 10, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Renton, WA. The record was last updated on Feb 9, 2023.