MS. Alicja Katarzyna Gonzales, PHYSICIANASSISTANT
MS. Alicja Katarzyna Gonzales, PHYSICIANASSISTANT is a Physician Assistant in Portland, Oregon. Qualified in 2005, 21 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 21
- Licensed in
- OR
- In the registry since
- 2006
Practice location Address checks out
202 NW 13th Ave Ste 300Portland, OR 97209-2953
Phone: (503) 408-4078
Fax: (186) 685-9819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA01067 (OR) |
|---|
Record details
| NPI number | 1760436372 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | May 19, 2006 |
| Last updated in NPPES | July 2, 2009 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Peacehealth Networks On Demand Llc — 201 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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