MICHAEL AARON GONZALEZ CADC-R/CRM/PSS
NPI 1174196083
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since July 19, 2021
620 NE 2ND ST, GRESHAM, OR 97030(971) 274-3757(503) 912-5740 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2022, Jun 8, 2022, Jul 19, 2021 (3 updates tracked since 2021).

About Michael Aaron Gonzalez Cadc-r/crm/pss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL AARON GONZALEZ CADC-R/CRM/PSS (NPI 1174196083) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (T-22-1722) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1174196083
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL AARON GONZALEZCredential: CADC-R/CRM/PSS
Location Address620 NE 2ND STGresham, OR 97030-7514
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Fax(503) 912-5740
Sole ProprietorNo
Enumeration DateJuly 19, 2021
Last NPPES UpdateNovember 8, 20223 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
NPI 1174196083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in OR · T-22-1722 Licensed in OR · 21-CRM-479
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000105609 (OR)
620 NE 2ND ST, Gresham, OR 97030

Other Identifiers 1

Medicaid500807475OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Social Worker
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Gonzalez's NPI number?

The NPI number for Michael Gonzalez is 1174196083. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Michael Gonzalez located?

Michael Gonzalez practices at 620 NE 2nd St, Gresham, OR 97030. The listed phone number is (971) 274-3757.

What is Michael Gonzalez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Gonzalez was last updated on November 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.