Dr OMAR J GONZALEZ is a male medical professional, specializing in Physician Assistant. He graduated in 2010.
JORDI X KELLOGG MD PC
9200 SE 91ST AVE
SUITE 340
PORTLAND
OR
970863756
Tel: 5032561462
| Npi | 1831412485 |
| Pac Id | 1355470634 |
| Professional Enrollment Id | I20180921002304 |
| Last Name | GONZALEZ |
| First Name | OMAR |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | JORDI X KELLOGG MD PC |
| Group Practice Pac Id | 8527958784 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 9200 SE 91ST AVE |
| Line 2 Street Address | SUITE 340 |
| Marker Of Address Line 2 Suppression | |
| City | PORTLAND |
| State | OR |
| Zip Code | 970863756 |
| Phone Number | 5032561462 |
| Hospital Affiliation Ccn 1 | 380038 |
| Hospital Affiliation Lbn 1 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380060 |
| Hospital Affiliation Lbn 2 | ADVENTIST MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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