Gonzalez, Omar J

Gonzalez, Omar J is an individual health care provider with primary practice located at 4011 Talbot Rd S Suite 300, Renton WA 98055-5773. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Gonzalez, Omar J can be contacted via phone (425) 656-5060.

Contact Information

Primary practice address
4011 Talbot Rd S Suite 300 Renton WA 98055-5773
Phone: (425) 656-5060
Fax: (425) 656-5047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60133734 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60133734 Washington

Profile Details

NPI number 1831412485
LBN Legal business name Gonzalez, Omar J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2010
Last updated Feb 9th, 2023 - about 2 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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