ILSE VIANEY GONZALEZ ANTONIO

PORTLAND, OR
NPI1992502462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  1041C0700X)
Additional Taxonomies101Y00000X Counselor
104100000X Social Worker
Enumeration Date2025-03-03
Last Update Date2025-03-03
Business Address
Ms. ILSE VIANEY GONZALEZ ANTONIO
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663
Mailing Address
Ms. ILSE VIANEY GONZALEZ ANTONIO
1904 SE DIVISION ST
PORTLAND, OR 97202-1146
Phone number: 503-517-8663