NPI 1083247878
Ileana G Gonzalez
Practice location
- Address
- 912 NE Kelly Ave # 100c, Gresham, OR 97030-5629
- Phone
- (503) 912-5502
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1083247878
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Feb 2020
- Record last updated
- 20 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.