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Search › Oregon › 175T00000X

Ilse Gonzalez Antonio

NPI 1992502462 · on the registry since 2025

Practice

Address
1904 Se Division St
Portland, OR 97202
Phone
(503) 517-8663
Organisation at this address
Sarah Roff
Catholic Community Services Of Western Washington
Inferred from a shared address, not stated in the registry.
Clinicians at this address
229

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
101Y00000X
104100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-03

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