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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY SAMANTHA GONZALEZ

Active

KIMBERLY SAMANTHA GONZALEZ is a Peer Specialist healthcare provider located in PORTLAND, Oregon. NPI 1033920004 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · PORTLAND, OR

Registration Details

NPI Number
1033920004
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2025 (1.5448317870549 yrs)
Last Updated
Jan 17, 2025
License
112866 (OR)

Practice Information

Address
6200 SE KING RD
PORTLAND, OR, 972222891
Browse OR providers · Browse ZIP 97222
Phone
5033581177
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in PORTLAND, OR

Name Credential NPI
GARY D WARNOCK CADC I 1740484286
KERI MCNICHOLAS 1235322686
MRS. DEBRA LYNN RUSSELL 1760658462
JIM V WHIPPLE 1598095713
SHERYL COOKSLEY 1407145626
KRATER H BUELL PSS 1538426978
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.