Individual
JULIEN J GUILLAUMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
408 SW MONROE AVE STE M210D, CORVALLIS, OR 97333-7228
(541) 257-5533
Mailing address
1300 NW HARRISON BLVD, STE B-20, CORVALLIS, OR 97330-6277
(541) 257-5533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1683
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278211
—
OR
Enumeration date
05/15/2006
Last updated
03/13/2020
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