Individual provider Active NPI

Suleidi Yoselin Gonzalez Gonzalez, CHW

  • Community Health Worker
  • Portland, OR
National Provider Identifier
1194670406
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
116374 Issued in OR
Practice address
3530 SE 88TH Ave
Portland, OR 97266-2396
Phone
(503) 772-4335
Fax
(503) 772-4337
NPI assigned
Mar 2, 2026
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 116374 OR Primary

Addresses

Primary practice location

3530 SE 88TH Ave
Portland, OR 97266-2396

Mailing address

3206 SE 33Rd St
Gresham, OR 97080-8799
Phone (503) 772-4335

Other practice location 1

9047 SE Foster Rd
Portland, OR 97266-4617
Phone (503) 772-8751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
116374ORMDCommunity Health Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1194670406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 SE 33RD ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808799",
            "telephone_number": "503-772-4335",
            "fax_number": "503-772-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 SE 88TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662396",
            "telephone_number": "503-772-4335",
            "fax_number": "503-772-4337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9047 SE Foster Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972664617",
            "country_code": "US",
            "telephone_number": "503-772-8751",
            "fax_number": "503-772-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ GONZALEZ",
        "first_name": "SULEIDI",
        "middle_name": "YOSELIN",
        "name_prefix": "Mrs.",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "116374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.