Individual
LINO GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
236 SE D ST, MADRAS, OR 97741-1619
(541) 475-5300
(541) 475-5310
Mailing address
236 SE D ST, MADRAS, OR 97741-1619
(541) 475-5300
(541) 475-5310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-06-10453
OR
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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