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Search › Oregon › Substance Use Disorder Rehabilitation Clinic/Center

Shane Gonzales, C.R.M

NPI 1245065366 · on the registry since 2024 · sole proprietor

Practice

Address
1122 Ne 122nd Ave Ste A200
Portland, OR 97230
Phone
(503) 594-4774
Organisation at this address
True Diagnostics
Northwest Recovery Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
Substance Use Disorder Rehabilitation Clinic/Center
261QR0405X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon