Individual
DR. JENIFER LYN GULLOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
17084 PILKINGTON RD, LAKE OSWEGO, OR 97035-5352
(503) 303-5472
Mailing address
1000 SW VISTA AVE APT 707, PORTLAND, OR 97205-1137
(559) 827-3003
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4294
OR
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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