IndividualActive
Jessica Gonzalez
NPI 1679287833 · Attendant Care Provider · Portland, OR
Provider details
- NPI number
- 1679287833
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2759389 (OR)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1245 Sw Grover St Apt 204
Portland, OR 97239-3083
Phone: (503) 516-5485
Approximate (ZIP-level) locationGet directions
Mailing address
1245 Sw Grover St Apt 204
Portland, OR 97239-3083
Registry dates
- Enumerated
- 2023-01-11
- Last updated
- 2023-01-11
- Certified
- 2023-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.