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1598671497 NPI number — JOSHUA GONZALES LE

NPI Number: 1598671497
Health Care Provider/Practitioner: JOSHUA GONZALES LE

Information about “1598671497” NPI (JOSHUA GONZALES LE) exists in 1598671497 in HTML format HTML  |  1598671497 in plain Text format TXT  |  1598671497 in PDF (Portable Document Format) PDF  |  1598671497 in an XML format XML  formats.

NPI Number : 1598671497 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598671497",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GONZALES",
    "FirstName": "JOSHUA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "COLLINS",
    "OtherFirstName": "RAVEN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LE",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "200 NE 20TH AVE STE 10",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97232-3094",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-322-0150",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "200 NE 20TH AVE STE 10",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97232-3094",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-322-0150",
    "PracticeLocationAddressFaxNumber": "844-761-2585",
    "EnumerationDate": "08/20/2026",
    "LastUpdateDate": "08/20/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "X",
    "Gender": null,
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "LicenseNumber": "E-10274508",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246Z00000X",
          "TaxonomyName": "Other Specialist/Technologist",
          "LicenseNumber": "E-10274508",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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