Individual
MRS. JEANETTE L GULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLD
Contact information
Practice address
8945 SW 50TH AVE, PORTLAND, OR 97219-5105
(248) 766-1908
Mailing address
8945 SW 50TH AVE, PORTLAND, OR 97219-5105
(248) 766-1908
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
12/09/2013
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