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Raquel Gonzales

NPI 1063881571ActiveIndividual· Psychologist· Lebanon, OR

Psychologist with Permanente Medical Group Inc, practicing in Lebanon, Oregon. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.

Overview

NPI1063881571
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 15, 2015
Last updated in NPPESAug 12, 2026
Certified by providerAug 12, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X4161OR
Psychologist103T00000X35219CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (CA); Practitioner - Clinical Psychologist (OR)

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyClinical Psychologist

Medical group

Source: CMS Care Compare

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