Marisa Gonzalez, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

10045834 Issued in OR

Practice address

1969 Willamette Falls Dr
West Linn, OR 97068-4659

Phone

(503) 925-1910

NPI assigned

Oct 2, 2025

Last updated

Oct 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1639043508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 SE CHLOE LN",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 WILLAMETTE FALLS DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684659",
            "telephone_number": "503-925-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10045834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Pear Acupuncture and Massage
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• Golden Toxicology LLC
• Montague Charles Gonzales, DMD
• Edward Christo Gorawski, L.AC.
• Tanya Marie Gore
• Jane Marie Grace, R.D.
• Krista Grant
• Jessica Marie Greenleaf, LMT

• Nurse Practitioner in West Linn, OR
• Providers in West Linn, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.