MANUEL MANUEL GONZALEZ GONZALEZ MD
NPI 1619619806
Student in an Organized Health Care Education/Training Program in Portland, OR
About Manuel Manuel Gonzalez Gonzalez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANUEL MANUEL GONZALEZ GONZALEZ MD (NPI 1619619806) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manuel Manuel Gonzalez Gonzalez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Manuel Gonzalez Gonzalez's NPI number?
The NPI number for Manuel Gonzalez Gonzalez is 1619619806. It was assigned to this individual provider in the NPPES registry on April 8, 2022.
Where is Manuel Gonzalez Gonzalez located?
Manuel Gonzalez Gonzalez practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.
What is Manuel Gonzalez Gonzalez's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Manuel Gonzalez Gonzalez enrolled in Medicare?
Yes. Manuel Gonzalez Gonzalez is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Manuel Gonzalez Gonzalez was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Manuel Manuel Gonzalez Gonzalez, MD · NPI 1619619806
Student in an Organized Health Care Education/Training Program provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since April 8, 2022.
## Identity
- **NPI:** 1619619806 (Entity type: Individual)
- **Enumerated:** April 8, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3098
- **Phone:** (503) 494-8211
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Boston University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** April 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619619806) · Data from the CMS NPPES public registry.