Shane Anthony Gonzales, C.R.M. is a rehabilitation and substance use disorder clinic center in Portland, OR. Shane Anthony Gonzales, C.R.M. NPI is 1245065366. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1122 NE 122ND AVE STE A200 PORTLAND, OR ZIP 97230-083 Phone: (503) 594-4774
The enumeration date for this NPI number is 9/6/2024 and was last updated on 9/6/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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