Individual
BARBARA LYNNE GUNDRUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 N MORRIS ST, PORTLAND, OR 97227-1541
(503) 230-9875
(503) 230-9877
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 230-9875
(503) 230-9877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126370
—
OR
Enumeration date
11/03/2005
Last updated
07/08/2007
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