Individual
MONIQUE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Mailing address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD25172
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022740
—
OR
01
—
023873007
BLUE CROSS
OR
01
—
3276316
CIGNA
OR
01
—
R165963
PTAN
—
Enumeration date
09/29/2005
Last updated
04/11/2013
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