Gonzales, David

Gonzales, David is an sole proprietor health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Cr 115, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Gonzales, David can be contacted via phone (503) 494-1660.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Cr 115 Portland OR 97239-3011
Phone: (503) 494-1660
Fax: (503) 494-5407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C1066 Oregon
Behavioral Health & Social Service Providers / Counseling 103TC1900X C1066 Oregon

Profile Details

NPI number 1679827356
LBN Legal business name Gonzales, David
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2012
Last updated Nov 2nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679827356 NPPES
Oregon Other C1066 STATE OF OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS

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