Maureen Matthews Gonzales, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1986 Issued in OR

Practice address

12442 SW Scholls Ferry Rd
202
Tigard, OR 97223-3396

Phone

(503) 216-9280

Fax

(503) 216-9284

NPI assigned

May 30, 2007

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720289283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14746 SW GRANDVIEW LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972241283",
            "telephone_number": "503-590-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12442 SW SCHOLLS FERRY RD",
            "address_2": "202",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233396",
            "telephone_number": "503-216-9280",
            "fax_number": "503-216-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MAUREEN",
        "middle_name": "MATTHEWS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goldmark Wound Specialty Group Deschutes, LLC
• Goldmark Wound Specialty Group Mpo, LLC
• Goldmark Wound Specialty Group PDX, LLC
• Enrique Gomez Morayta, M.D.
• Trinidad Lavone Gomez-Michael
• Ross Richard Gonzales, LPC
• Jose Manuel Gonzalez-Villavicencio, CRM
• Catherine Gonzalez
• Celene Gonzalez
• Kira Autumn Rose Gonzalez

• Physical Therapist in Tigard, OR
• Providers in Tigard, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.