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1013755263
BRISA M GONZALEZ
BEAVERTON, OR
NPI
1013755263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-19
Last Update Date
2024-07-19
Business Address
BRISA M GONZALEZ
15455 NW GREENBRIER PKWY STE 200
BEAVERTON, OR 97006-7359
Phone number: 503-258-4495
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Mailing Address
BRISA M GONZALEZ
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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