Individual
DR. JEREMY GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
400 HICKORY ST NW STE 201, ALBANY, OR 97321-1700
(541) 812-5840
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65446
OR
225100000X
Physical Therapist
—
OR
Other
Enumeration date
07/29/2024
Last updated
12/20/2024
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