Individual
CLAUDIA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 E 18TH ST, VANCOUVER, WA 98661-6270
(360) 936-6660
Mailing address
4601 E 18TH ST, VANCOUVER, WA 98661-6270
(360) 936-6660
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
GUTICE101QW
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
OR
Enumeration date
03/12/2018
Last updated
06/16/2018
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