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Contact Information

JULIE E GONZALEZ, BA
707 SW 10TH ST APT 406
CORVALLIS, OR97333-4578
 Phone: 909-851-4181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for JULIE E GONZALEZ · (Female)

NPI Number 1396314746
Status Active
Credentials BA
Entity Individual
Enumeration date 06/21/2021
Last updated 06/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 379
  • OR Other 2008837905 PACIFIC SOURCE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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