| Lisa M Gonzalez, DPT | |
|
310 N Villa Rd Ste 101, Newberg, OR 97132-1886 | |
| (503) 537-3546 | |
| Not Available |
| Full Name | Lisa M Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 310 N Villa Rd Ste 101, Newberg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578291118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 64648 (Oregon) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | 64648 (Oregon) | Primary |
| Provider Name | Providence Health & Services Oregon |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Gonzalez, DPT Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Lisa M Gonzalez, DPT 310 N Villa Rd Ste 101, Newberg, OR 97132-1886 Ph: (503) 537-3546 |
Mr. Byron J. Herigstad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120-c N Everest Rd, Newberg, OR 97132 Phone: 503-538-8952 Fax: 503-537-2027 | |
Gina Alicia Pieretti, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 N Everest Rd Ste C, Newberg, OR 97132 Phone: 503-538-8952 Fax: 503-537-2027 | |
Amy Leigh Phelps, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 Deborah Rd, Ste 190b, Newberg, OR 97132 Phone: 503-537-7070 Fax: 503-217-7176 | |
Mrs. Cheryl Lynn Gara, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Providence Dr, Newberg, OR 97132 Phone: 503-537-1555 | |
Courtney Helen Hanks, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 Deborah Rd Ste 190, Newberg, OR 97132 Phone: 503-887-4061 | |
Aria Rachel Assad, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 E 1st St, Newberg, OR 97132 Phone: 949-533-1641 | |
Mrs. Denise Kay Pia, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Fulton St, Newberg, OR 97132 Phone: 503-538-2108 |