Justin Gonzales, DMD

NPI 1649436999 · on the registry since 2008

Practice

Address: 9775 Se Sunnyside Rd
Suite 200
Clackamas, OR 97015
Phone: (503) 655-8471
Fax: (503) 794-3850
Organisation at this address: Clackamas County
Genoa Healthcare Llc
Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 41

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-01-25

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