# HECTOR MANUEL GUTIERREZ JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043256233
- **Gender:** Man
- **Credential:** PA C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | PA10003370 | WA | — |
| 363A00000X | Physician Assistant | PA10003370 | WA | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 04/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0202688 | LIWA | WA |
| 01 | — | 0222295 | LIWA | WA |
| 01 | — | 3075GU | BSWA | WA |
| 01 | — | 3945GU | BSWA | WA |
| 05 | — | 8323081 | — | WA |