Matthew James Gonzales, BSDH, RDH, EPDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H7750 Issued in OR

Practice address

3300 SE Dwyer Dr Ste 302
Milwaukie, OR 97222-6548

Phone

(503) 850-4479

NPI assigned

Oct 22, 2018

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1174820815
  NPD (past)
• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Milwaukie, OR
  • NPI 1750729257
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1740756378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 SW MACADAM AVE STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393519",
            "telephone_number": "503-941-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SE DWYER DR STE 302",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226548",
            "telephone_number": "503-850-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "BSDH, RDH, EPDH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H7750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue R Goldish, MS CCC SLP
• Deborah Kay Goldstein, OCCUPATIONAL THERAPI
• Josue Gomez, MSW
• Kelsey Gonwick
• Alicia Lynn Gonzales, CPM
• Ada Elena Gonzalez, ND
• Brianna Jean Goodell
• Hazel Laura Gooding, SPEECH LANGUAGE PATH
• Melvin Douglas Goodman, DR
• Molly Gordon-Schnacky, MSW, LCSW

• Dental Hygienist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.