MEDICARE: MARIA DEL CARMEN CASTANEDA GONZALEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	10006473	OR

General Provider Information

NPI Number	:	1558295477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DEL CARMEN CASTANEDA GONZALEZ

Provider Business Mailing Address
First Line	:	4430 NE M L KING JR BLVD APT 209
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-3361
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4430 NE M L KING JR BLVD APT 209
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97211-3361
Country	:	US
Telephone Number	:	971-272-8913
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

Similar Medicare Providers

1003336702 — JACOB FILLEBROWN DMD
Practice Location Address:

324 GANNETT DR STE 500
SOUTH PORTLAND, ME
04106-3361

Practice Phone: 207-253-5600
Practice Fax:

1780221739 — VERA E HYATT
Practice Location Address:

3015 NE 19TH AVE
PORTLAND, OR
97212-3361

Practice Phone: 971-266-0280
Practice Fax:

1497393201 — MS. ELIZABETH BENJAMIN CD
Practice Location Address:

3015 NE 19TH AVE
PORTLAND, OR
97212-3361

Practice Phone: 971-409-3612
Practice Fax:

1710755590 — GANNETT DRIVE DENTAL PLLC
Practice Location Address:

324 GANNETT DR STE 500
SOUTH PORTLAND, ME
04106-3361

Practice Phone: 207-253-5600
Practice Fax:

1245101641 — WILDWOOD BIRTH LLC
Practice Location Address:

3015 NE 19TH AVE
PORTLAND, OR
97212-3361

Practice Phone: 971-266-0280
Practice Fax:

1437082427 — ELICE AUGUST PRAY
Practice Location Address:

4943 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR
97211-3511

Practice Phone: 971-292-1960
Practice Fax:

Directions to “ MARIA DEL CARMEN CASTANEDA GONZALEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.