| Mr Vincent A Gonsalves, PT | |
|
9445 Sw Locust St, Work & Wellness, Tigard, OR 97223-6634 | |
| (503) 595-8806 | |
| Not Available |
| Full Name | Mr Vincent A Gonsalves |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 34 Years |
| Location | 9445 Sw Locust St, Tigard, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285808303 | NPI | - | NPPES |
| 87 | Other | WI | DEAN HEALTH INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9609-024 (Wisconsin) | Secondary |
| 225100000X | Physical Therapist | 6196 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Extremity Specialists Llc | 3577881747 | 22 |
| Provider Name | Northwest Extremity Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295126241 PECOS PAC ID: 3577881747 Enrollment ID: O20150420000860 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vincent A Gonsalves, PT 9445 Sw Locust St, Work & Wellness, Tigard, OR 97223-6634 Ph: (503) 595-8806 | Mr Vincent A Gonsalves, PT 9445 Sw Locust St, Work & Wellness, Tigard, OR 97223-6634 Ph: (503) 595-8806 |
Evan Liu, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7800 Sw Durham Rd, Ste. 500, Tigard, OR 97224 Phone: 503-937-0090 | |
Alexis Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16083 Sw Upper Boones Ferry Rd, Tigard, OR 97224 Phone: 800-219-8835 | |
Noel L Baier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2008 Fax: 503-598-2020 | |
Colbie J Jorgensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 Fax: 503-624-0118 | |
Mrs. Jessica Steele-thornborrow, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 18039 Sw Lower Boones Ferry Rd, Tigard, OR 97224 Phone: 503-753-1537 | |
Miranda Rose Paasche, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12700 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-753-1537 Fax: 503-573-8004 | |
Cali Lescas Hernandez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9735 Sw Shady Ln Ste 203b, Tigard, OR 97223 Phone: 503-223-1856 Fax: 503-223-1856 |