Individual
ANTHONY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1790 W 11TH AVE STE 200, EUGENE, OR 97402-3871
(541) 686-2688
Mailing address
3992 BURLWOOD ST, EUGENE, OR 97404-1374
(714) 472-5921
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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