Shane Gonzales, C.R.M.

Individual Active
NPI 1245065366
Substance Use Disorder Rehabilitation Clinic/Center Portland, OR

Shane Gonzales, C.R.M. holds NPI 1245065366, with a primary taxonomy of substance use disorder rehabilitation clinic/center and a practice location in Portland, OR. The number was issued on September 6, 2024 and the NPPES record was last updated on September 6, 2024.

Taxonomies and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405X (OR)

Practice location

1122 NE 122nd Ave Ste A200
Portland, OR 97230-2083
Phone: (503) 594-4774

Local context

Active NPPES records list 35 providers with substance use disorder rehabilitation clinic/center as the primary taxonomy within 25 miles of this practice location's ZIP code, 21 of them within 10 miles.

The same primary taxonomy is listed by 69 in Oregon and 7,441 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Shane Anthony Gonzales
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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