Adrian Herrera Gonzalez

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

201906560RN Issued in OR

Practice address

1312 SW Washington St
Portland, OR 97205-2327

Phone

(503) 535-1173

NPI assigned

Jan 21, 2020

Last updated

Jan 21, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: adrian.gonzalez@depaultc.org

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1841820735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3007",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083007",
            "telephone_number": "503-535-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 SW WASHINGTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052327",
            "telephone_number": "503-535-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ADRIAN",
        "middle_name": "HERRERA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "201906560RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adrian.gonzalez@depaultc.org",
            "affiliation": "N",
            "address_1": "1312 SW Washington St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972052327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adriana Guadalupe Gonzalez Mejia
• Gonzalez Psychological Services, P.C.
• Maria Jose Gonzalez-Rivas
• Juan Carlos Gonzalez-Vitale, M.D.
• Aanya Lynne Gonzalez
• Alejandro Gonzalez
• Alexa D Gonzalez
• Angie Gonzalez
• Audrey Gonzalez
• Brittany Nicole Gonzalez

• Addiction (Substance Use Disorder) Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.