MS. ALICJA KATARZYNA GONZALES (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1760436372
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for MS. ALICJA KATARZYNA GONZALES (PHYSICIAN ASSISTANT)
3600, Northeast John Olsen Avenue, Tanasbourne Corporate Center, Tanasbourne, Hillsboro, Washington County, Oregon, 97124, United States
SUITE 250
HILLSBORO, OR 971245815
Phone: (503) 684-8252
Fax: (186) 685-9819
Type: Mailing
ZoomCare, 202, Northwest 13th Avenue, Pearl District, Portland, Metro, Multnomah County, Oregon, 97209, United States
SUITE 300
PORTLAND, OR 972092953
Phone: (503) 408-4078
Fax: (186) 685-9819
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051207001029 | I | Physician Assistant | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Physician Assistant | FL | |
| Nurse Practitioner | OR | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | VA | |
| Physician Assistant | IL |
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