MS. ALICJA KATARZYNA GONZALES PHYSICIAN ASSISTANT NPI 1760436372

NPI Information

NPI: 1760436372
Provider Name: MS. ALICJA KATARZYNA GONZALES, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
202 NW 13TH AVE
SUITE 300
PORTLAND, OR
ZIP 97209
Phone: (503) 408-4078
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MS. Alicja Katarzyna Gonzales, PHYSICIAN ASSISTANT is a medical physician assistant in Portland, OR. MS. Alicja Katarzyna Gonzales, PHYSICIAN ASSISTANT NPI is 1760436372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

202 NW 13TH AVE
SUITE 300
PORTLAND, OR
ZIP 97209-953
Phone: (503) 408-4078
Fax: (186) 685-9819

The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/2/2009.

Taxonomy Codes

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA01067	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q58299	MEDICARE UPIN	OREGON
2	133396	MEDICARE PIN	OREGON

What is NPI?

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: 11/14/2023

NPI Synchronization or Removal

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