Gonzales, Jesus

Gonzales, Jesus is an individual health care provider with primary practice located at 1401 Ne 68Th Ave , Portland OR 97213-4957. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Gonzales, Jesus can be contacted via phone (503) 988-8984.

Contact Information

Primary practice address
1401 Ne 68Th Ave Portland OR 97213-4957
Phone: (503) 988-8984
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1326582172
LBN Legal business name Gonzales, Jesus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Dec 19th, 2016 - about 10 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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