Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Ilse Vianey Gonzalez Antonio

Individual provider Counselor · NPI 1992502462

MS. Ilse Vianey Gonzalez Antonio is a Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025
Specialties on file
3

Practice location Address checks out

1904 SE Division St
Portland, OR 97202-1146
Phone: (503) 517-8663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 1041C0700X (OR)
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X

Record details

NPI number1992502462
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 2, 2025

Other providers in Portland