Individual
DIANE RENEE GATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
360 NW BURNSIDE RD, GRESHAM, OR 97030-3852
(503) 667-7480
Mailing address
1805 NE 94TH ST UNIT 6, VANCOUVER, WA 98665-9139
(360) 574-0018
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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