Individual
ALEXIS GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 268-1170
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 268-1170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA70054946
WA
Other
Enumeration date
01/14/2025
Last updated
10/06/2025
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