Individual
JOSSELYN GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
450 TATONE ST, BOARDMAN, OR 97818-8076
(541) 481-7212
(541) 481-5447
Mailing address
PO BOX 397, BOARDMAN, OR 97818-0397
(541) 481-7212
(541) 481-5447
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
114472
OR
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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