Most Relevant Information
Provider Data
| NPI Number: | 1003540485 |
| Provider Name: | AANYA LYNNE GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2022 |
| Last Updated: | 01/30/2023 |
Provider Practice Location
1507 NE 122ND AVE
PORTLAND
OR
972301911
Practice Location Phone/Fax
| Phone: | 5032584555 |
| Fax: |
Provider Mailing Location
2880 SE DIVISION ST APT 416
PORTLAND
OR
972022082
Provider Mailing Phone/Fax
| Phone: | 9048878798 |
| Fax: |