Individual
MR. STEVEN P. GUTENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3225 SE FLOSS ST, MILWAUKIE, OR 97222-5681
(503) 709-2090
Mailing address
3225 SE FLOSS ST, MILWAUKIE, OR 97222-5681
(503) 709-2090
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
19174
OR
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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