Individual
CHARLES GUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
16303 BRYANT RD, LAKE OSWEGO, OR 97035-4307
(503) 636-5697
(503) 699-7990
Mailing address
16303 BRYANT RD, LAKE OSWEGO, OR 97035-4307
(503) 636-5697
(503) 699-7990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0008922
OR
Other
Enumeration date
05/14/2011
Last updated
05/14/2011
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